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STACI ABBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAT

Contact information

Practice address
2503 32ND ST, ASTORIA, NY 11102-5011
(205) 639-9304
Mailing address
2503 32ND ST, ASTORIA, NY 11102-5011
(205) 639-9304

Taxonomy

Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
002410-01
NY
101Y00000X
Counselor
002410
NY

Other

Enumeration date
10/17/2022
Last updated
07/17/2024
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