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Individual

MRS. THERESA L WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
435 WEST 23RD STREET, SUITE 1B, NEW YORK, NY 10011
(917) 693-7424
Mailing address
435 WEST 23RD STREET, SUITE 1B, NEW YORK, NY 10011
(917) 693-7424

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0002151
NY
106H00000X
Marriage & Family Therapist
000542
CT

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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