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Individual
ALEX WALKLEY DEDICKE
Active
Individual
ALEX WALKLEY DEDICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002198-1
NY
225A00000X
Music Therapist
002198-1
NY
Other
Enumeration date
09/13/2018
Last updated
04/25/2020
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