Individual
MARYAN NASR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT-LP
Contact information
Practice address
2294 E 15TH ST, BROOKLYN, NY 11229-4640
(347) 620-3339
Mailing address
2294 E 15TH ST, BROOKLYN, NY 11229-4640
(347) 620-3339
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P117675
NY
Other
Enumeration date
09/19/2022
Last updated
10/10/2024
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