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Individual
STEFANIE JANA REISS
Active
Individual
STEFANIE JANA REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017399
—
NY
Enumeration date
12/15/2006
Last updated
04/14/2008
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