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Individual
KARA A. MYCEK
Active
Individual
KARA A. MYCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, BC-DMT
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
001732-1
NY
Other
Enumeration date
06/12/2012
Last updated
09/11/2018
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