Individual
SHU SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
91 CHESTNUT ST, MILLBURN, NJ 07041-2122
(347) 248-6440
Mailing address
91 CHESTNUT ST, MILLBURN, NJ 07041-2122
(347) 248-6440
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002508
NY
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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