Individual
BRENDAN TODD KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
41 PAGE PARK DR, POUGHKEEPSIE, NY 12603-7500
(845) 468-2950
Mailing address
573 CARPENTER HILL RD, PINE PLAINS, NY 12567-4838
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102754-1
NY
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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