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Individual

MARIN MICHELLE KAUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3535 MARKET ST FL STREET6, PHILADELPHIA, PA 19104-3309
(215) 746-3327
Mailing address
3535 MARKET ST FL STREET6, PHILADELPHIA, PA 19104-3309
(215) 746-3327

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
AA0004861968
PA
103TC2200X
Clinical Child & Adolescent Psychologist
AA0004861968
PA

Other

Enumeration date
06/05/2024
Last updated
06/05/2024
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