Individual
MR. DANIEL AUGUSTINE WALSH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAT
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(718) 781-8659
Mailing address
533 VAN SICLEN AVE, BROOKLYN, NY 11207-5616
(718) 781-8659
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002311
NY
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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