Individual
INGA BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 630-3399
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
001947
NY
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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