Individual
EMMA KATE MAMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R-DMT
Contact information
Practice address
4350 N BROADWAY ST STE 2, CHICAGO, IL 60613-6043
(773) 883-4663
Mailing address
4350 N BROADWAY ST STE 2, CHICAGO, IL 60613-6043
(773) 883-4663
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
R-DMT-2515
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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