Individual
JEAN-HANS CLIFORD LOUBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22201 HEMPSTEAD AVE, QUEENS VILLAGE, NY 11429-2122
(347) 586-4558
Mailing address
22201 HEMPSTEAD AVE, QUEENS VILLAGE, NY 11429-2122
(347) 586-4558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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