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Individual

MIKI TOMARU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.A

Contact information

Practice address
20 S BROADWAY, YONKERS, NY 10701-3713
(914) 964-6767
Mailing address
260 GARTH RD APT 2C4, SCARSDALE, NY 10583-4014
(914) 656-5858

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
07/30/2010
Last updated
07/30/2010
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