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Individual
MS. JULIA LYNN CUCCARO-GREEN
Active
Individual
MS. JULIA LYNN CUCCARO-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, BC-DMT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010668
PA
225600000X
Dance Therapist
BC-DMT-1222
PA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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