Individual
MS. KIMBERLY ELLEN MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
320 W 13TH ST, NEW YORK, NY 10014-1200
(212) 645-8111
(212) 229-2178
Mailing address
57 WILLOUGHBY ST, 2ND FLOOR, BROOKLYN, NY 11201-5257
(347) 473-7446
(718) 222-1736
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001439
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001439
LICENSE
NY
Enumeration date
11/08/2012
Last updated
11/08/2012
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