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1912576364
MICHELLE BACK
NEW YORK, NY
NPI
1912576364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
MICHELLE BACK
7 W 30TH ST
NEW YORK, NY 10001-4406
Phone number: 212-725-7850
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Mailing Address
MICHELLE BACK
7 W 30TH ST
NEW YORK, NY 10001-4406
Phone number: 212-725-7850
Copy
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