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Mithsou Derodel
NPI 1366288250 · on the registry since 2024
Practice
- Address
- 23318 130th Ave
Rosedale, NY 11422 - Phone
- (347) 479-7905
- Organisation at this address
- Autesh Therapy Services, Lcsw, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101200000X
101200000X
- Also registered as
- 101YM0800X
- Sex
- Female
- Record last updated
- 2024-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York