Individual
MRS. WINNIE W. FANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
21 NORTH STATION PLAZA, COPAY INC., GREAT NECK, NY 11021
(516) 466-2509
(516) 482-3146
Mailing address
21 NORTH STATION PLAZA, COPAY INC., GREAT NECK, NY 11021
(516) 466-2509
(516) 482-3146
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
043255
NY
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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