Individual
JESSICA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 GRAND ST, BROOKLYN, NY 11249-4123
(470) 851-0466
Mailing address
105 GRAND ST, BROOKLYN, NY 11249-4123
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
002801
NY
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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