Individual
MS. SOPHIE ELLA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
250 DEAN ST, BROOKLYN, NY 11217-2201
(347) 880-2329
Mailing address
250 DEAN ST, BROOKLYN, NY 11217-2201
(347) 880-2329
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002005-01
NY
Other
Enumeration date
08/10/2021
Last updated
08/19/2021
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