Individual
MRS. GWENDOLYN MCPHAUL SHORT
Active
Individual
MRS. GWENDOLYN MCPHAUL SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC,LCPAT
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
AC0069
MD
221700000X
Art Therapist
—
MD
Other
Enumeration date
12/20/2017
Last updated
06/29/2020
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