Individual
MITSU EMIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
245 FIFTH AVE, 3F, NEW YORK, NY 10016
(917) 488-6175
Mailing address
65 NAGLE AVE, #BSMT, NEW YORK, NY 10040
(917) 488-6175
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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