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Individual
GIANNINA MIXCO PENNISI
Active
Individual
GIANNINA MIXCO PENNISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
225600000X
Dance Therapist
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
07/14/2026
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