Individual
KATELYN LEE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 JULBET DR, SAYVILLE, NY 11782-1449
(856) 357-6552
Mailing address
61 JULBET DR, SAYVILLE, NY 11782-1449
(856) 357-6552
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002320
NY
390200000X
Student in an Organized Health Care Education/Training Program
M1262 42673 52922
NJ
Other
Enumeration date
01/26/2015
Last updated
06/10/2022
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