Individual
GRACE ANNE HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-DMT
Contact information
Practice address
2236 43RD ST APT 2, ASTORIA, NY 11105-1489
(218) 760-0642
Mailing address
2236 43RD ST APT 2, ASTORIA, NY 11105-1489
(218) 760-0642
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
P119123
NY
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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