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Individual

BETH LONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAT

Contact information

Practice address
199 JAY ST, 2ND FL, BROOKLYN, NY 11201-1907
(718) 488-0100
(718) 488-0129
Mailing address
612 CARROLL ST, BROOKLYN, NY 11215-1118
(718) 488-0100
(718) 488-0129

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000111
NY

Other

Enumeration date
03/09/2007
Last updated
07/08/2007
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