Individual
MRS. LAUREN BOLLACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
11 PLYMOUTH RD, BAYVILLE, NY 11709-1924
(516) 996-1843
Mailing address
11 PLYMOUTH RD, BAYVILLE, NY 11709-1924
(516) 996-1843
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002185
NY
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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