Individual
MYLADIS CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
90 MAIDEN LN FL 4, NEW YORK, NY 10038-4712
(212) 571-1180
Mailing address
90 MAIDEN LN FL 4, NEW YORK, NY 10038-4712
(212) 571-1180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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