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Individual

MIKAYLA MORIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAT

Contact information

Practice address
125 E 23RD ST STE 500-11, NEW YORK, NY 10010-4511
(917) 476-0539
Mailing address
74 DE SALES PL APT 2R, BROOKLYN, NY 11207-1845

Taxonomy

Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
002686
NY
221700000X
Art Therapist
P108224
NY

Other

Enumeration date
01/18/2021
Last updated
03/21/2022
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