Individual
MS. LISA JANINE MIRABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
26 COURT ST, STE 1009, BROOKLYN, NY 11242-1110
(347) 522-1927
Mailing address
110 STIEG AVE, STATEN ISLAND, NY 10308-1538
(347) 522-1927
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002338
NY
Other
Enumeration date
07/03/2019
Last updated
08/04/2020
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