Individual
MS. JACQUELINE MIA BARKAN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, LCAT
Contact information
Practice address
2000 FISHER AVE, MERRICK, NY 11566-3407
(845) 559-4922
Mailing address
PO BOX 127, MERRICK, NY 11566-0127
(845) 559-4922
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000031
NY
Other
Enumeration date
12/30/2006
Last updated
03/07/2019
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