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1992446140
MICHAEL TISE
BRONX, NY
NPI
1992446140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NY 001879)
Enumeration Date
2022-04-03
Last Update Date
2022-04-03
Business Address
MICHAEL TISE LMFT
2566 BAINBRIDGE AVE APT 4A
BRONX, NY 10458-4664
Phone number: 646-532-1332
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Mailing Address
MICHAEL TISE LMFT
2566 BAINBRIDGE AVE APT 4A
BRONX, NY 10458-4664
Phone number:
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