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Individual

MYKERA LECHAE SUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25 W HORTTER ST APT 321, PHILADELPHIA, PA 19119-2733
(267) 476-5209
Mailing address
25 W HORTTER ST, PHILADELPHIA, PA 19119-2732
(267) 476-5209

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
09/30/2024
Last updated
09/30/2024
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