Individual
DR. MARY AXEL MANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
241 CPW, NEW YORK, NY 10024
(212) 769-9309
Mailing address
4 HORIZON ROAD, 414, FT. LEE, NJ 07024
(212) 769-9309
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
06000578
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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