Individual
MS. JEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
757 E 19TH ST, BROOKLYN, NY 11230-1807
(917) 292-9301
Mailing address
757 E 19TH ST, BROOKLYN, NY 11230-1807
(917) 292-9301
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000113-1
NY
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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