Individual
AJANAE L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
105 CARLTON AVE, BROOKLYN, NY 11205-2201
(718) 625-4545
Mailing address
417 MYRTLE AVE, BROOKLYN, NY 11205-2426
(917) 284-8366
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002923
NY
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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