Individual
KAYLEIGH WOJEWODZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9587 STATE ROUTE 9, CHAZY, NY 12921-3104
(518) 586-6012
Mailing address
9587 STATE ROUTE 9, CHAZY, NY 12921-3104
(518) 570-6848
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001549
NY
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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