Individual
JENNIFER M GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, ATR-BC, LCAT
Contact information
Practice address
101 E 56TH ST, APT 3D, BROOKLYN, NY 11203-3744
(732) 582-9878
Mailing address
101 E 56TH ST, APT 3D, BROOKLYN, NY 11203-3744
(732) 582-9878
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001960
NY
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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