Individual
MR. KEVIN HANS MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAT
Contact information
Practice address
920 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-8403
Mailing address
304 E 38TH ST, APT. A, NEW YORK, NY 10016-2751
(646) 283-1937
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000345
NY
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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