Individual
JULIE HAYES O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
361 TRACEY LN, GRAND ISLAND, NY 14072-1949
(716) 909-9359
Mailing address
361 TRACEY LN, GRAND ISLAND, NY 14072-1949
(716) 909-9359
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000768
NY
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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