Provider Information for 1992909428
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SEAN KWESKIN LMHC
Sex: Male
NPI: 1992909428
Last Updated: 2024-05-22
Certification Date: 2024-05-22
Certification Date: 2024-05-22
Details
| Name | Value | ||||||||||||
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| NPI | 1992909428 | ||||||||||||
| Enumeration Date | 2007-06-11 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1041 45TH ST WEST PALM BEACH, FL 33407-2402 United States Phone: 561-383-8000 | Fax:561-514-1275 | ||||||||||||
| Primary Practice Address | 2655 SAWYER TER WELLINGTON, FL 33414-6482 United States Phone: 561-827-9977 | Fax: | ||||||||||||
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