Individual
KAILEE RYOKO KODAMA MUSCENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MED
Contact information
Practice address
246 GREENE ST., KIMBALL HALL, 5TH FLOOR, NEW YORK, NY 10003
(212) 998-5573
Mailing address
39 WILFRED ST, WEST ORANGE, NJ 07052-5809
(626) 372-3562
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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