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Organization
OUR KITCHEN TABLE
Active
Organization
OUR KITCHEN TABLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLY RODRIGUEZ LMHC (COUNSELOR)
(646) 633-2420
Entity
Organization
Contact information
Practice address
40 EXCHANGE PL FRNT 3, NEW YORK, NY 10005-2877
(646) 991-7295
Mailing address
549 ISHAM ST, NEW YORK, NY 10034-2121
(201) 966-7873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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