Individual
KENISHA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 49TH ST, BROOKLYN, NY 11220-2010
(718) 437-5280
(718) 436-7810
Mailing address
514 49TH ST, BROOKLYN, NY 11220-2010
(718) 437-5280
(718) 436-7810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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