Individual
MS. CRYSTAL L GAUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
406 E 176TH ST, BRONX, NY 10457-6003
(718) 901-6847
Mailing address
216 E 118TH ST, APT. 2B, NEW YORK, NY 10035-4184
(917) 407-0890
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001179
NY
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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