Individual
STEPHANIE GORSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000630-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7934
ATR
NY
01
—
92-286
ATR-BC
NY
Enumeration date
05/10/2007
Last updated
07/08/2007
Update your record
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