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Individual

MRS. JODI NICOLE WATTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATR-BC, LCAT

Contact information

Practice address
577 MARION DR, EAST MEADOW, NY 11554-5416
(516) 241-5231
Mailing address
577 MARION DR, EAST MEADOW, NY 11554-5416
(516) 241-5231

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001436
NY

Other

Enumeration date
06/22/2020
Last updated
06/22/2020
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