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Individual

KASANDRA ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPS

Contact information

Practice address
125 E 23RD ST STE 402, NEW YORK, NY 10010-4547
(917) 476-0539
Mailing address
125 E 23RD ST, NEW YORK, NY 10010-4511

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary

Other

Enumeration date
11/14/2022
Last updated
11/16/2022
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