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Individual
MICHELLE TERRY
Active
Individual
MICHELLE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
R056116-1
NY
1041C0700X
Clinical Social Worker
Primary
R056116-1
NY
Other
Enumeration date
05/20/2014
Last updated
07/13/2020
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