Individual
JANE BISHOW-SEMEVOLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 SOUTH RD, COLCHESTER, CT 06415-2513
(631) 805-3561
Mailing address
66 SOUTH RD, COLCHESTER, CT 06415-2513
(631) 805-3561
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001791
NY
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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