Individual
CASSIDY MICHELLE MACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.E.D
Contact information
Practice address
230 W 17TH ST, NEW YORK, NY 10011-5325
(212) 925-9250
Mailing address
349 E 138TH ST APT 2A, BRONX, NY 10454-3229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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