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Individual

ETHAN JOSEPH CULLINAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCAT

Contact information

Practice address
224 ALEXANDER ST, ROCHESTER, NY 14607-4000
(585) 922-9900
Mailing address
9520 MAIN ST APT C, CLARENCE, NY 14031-1983

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary

Other

Enumeration date
03/30/2021
Last updated
03/30/2021
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