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Individual
YEVGENIA MASTYAYEVA
Active
Individual
YEVGENIA MASTYAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018503-1
NY
1041C0700X
Clinical Social Worker
046116
NY
Other
Enumeration date
10/12/2006
Last updated
06/21/2010
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