Individual
JADE AUBREY GIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
500 LINDA AVE, LINDEN HILL RTF - J.B.F.C.S., HAWTHORNE, NY 10532-1313
(917) 929-1234
Mailing address
248 E 83RD ST, NEW YORK, NY 10028-2801
(917) 929-1234
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
P78370
NY
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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