Individual
JENNA L HARTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
4848 BROADWAY APT 4E, NEW YORK, NY 10034-3150
(917) 685-3261
Mailing address
4848 BROADWAY APT 4E, NEW YORK, NY 10034-3150
(917) 685-3261
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001682
NY
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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