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Individual
KAITLYNN B. CORNELL-MULLANE
Active
Individual
KAITLYNN B. CORNELL-MULLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, RDT, MA
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
002579
NY
101YM0800X
Mental Health Counselor
002579
NY
221700000X
Art Therapist
002579
NY
Other
Enumeration date
05/04/2021
Last updated
05/08/2024
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