Individual
MS. STACY DYAN HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
437 PROSPECT AVE APT 3, BROOKLYN, NY 11215-5843
(917) 745-6993
Mailing address
49 W 24TH ST, SUITE 612, NEW YORK, NY 10010-3206
(917) 745-6993
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000908
NY
Other
Enumeration date
05/17/2007
Last updated
02/09/2012
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