Individual
INEKE DEMUYNCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 W COURT ST, ITHACA, NY 14850-4165
(607) 288-2803
Mailing address
122 W COURT ST, ITHACA, NY 14850-4165
(607) 288-2803
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001531
NY
Other
Enumeration date
12/13/2016
Last updated
01/16/2019
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