Individual
AUBREY DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 LASALLE PKWY, VICTOR, NY 14564-9610
(585) 734-5203
Mailing address
24 LASALLE PKWY, VICTOR, NY 14564-9610
(585) 734-5203
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
0659741
NY
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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