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Individual
DESPINA PETSAGOURAKIS
Active
Individual
DESPINA PETSAGOURAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
025838
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/31/2018
Last updated
09/19/2023
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