Individual
KATHLEEN FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 E 84TH ST, NEW YORK, NY 10028-6211
(111) 111-1111
Mailing address
414 E 84TH ST, NEW YORK, NY 10028-6211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
09/25/2017
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