Individual
MR. WALKENS PETIT-FRERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
348 13TH ST STE 203, BROOKLYN, NY 11215-6179
(917) 499-9876
Mailing address
2427 ADAM CLAYTON POWELL JR BLVD APT 2A, NEW YORK, NY 10030-1770
(917) 499-9876
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
112377
NY
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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