Individual
MRS. MARJORIE LUCY REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
28 VISTA DR, KINGSTON, NY 12401-4757
(845) 338-6938
Mailing address
28 VISTA DR, KINGSTON, NY 12401-4757
(845) 338-6938
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000150
NY
Other
Enumeration date
05/24/2007
Last updated
01/30/2012
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