Individual
KELSEY FAY BICKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2187 CRUGER AVE APT 5N, BRONX, NY 10462-1536
(518) 524-3190
Mailing address
2187 CRUGER AVE APT 5N, BRONX, NY 10462-1536
(518) 524-3190
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001644
NY
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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