Individual
MARC WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W., B.C.D.
Contact information
Practice address
10 W 15TH ST APT 706, NEW YORK, NY 10011-6822
(212) 242-5030
Mailing address
10 W 15TH ST APT 706, NEW YORK, NY 10011-6822
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
R021936-1
NY
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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