Individual
MS. DEETTE ANN FRARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ATR-BC, LCAT
Contact information
Practice address
8751 NEW COUNTRY DR, APT 5, CICERO, NY 13039-8641
(315) 657-1505
Mailing address
8751 NEW COUNTRY DR APT 5, CICERO, NY 13039-8359
(315) 657-1505
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000541-1
NY
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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