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Individual

JESSICA ELIZABETH LIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATR-BC, LCAT

Contact information

Practice address
1438 PARK AVE APT 1, MERRICK, NY 11566-1839
(516) 320-3140
Mailing address
1438 PARK AVE APT 1, MERRICK, NY 11566-1839
(516) 320-3140

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002291
NY

Other

Enumeration date
06/26/2017
Last updated
10/13/2022
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