Individual
MARYANNE DIPASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
920 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-8486
(718) 635-6289
Mailing address
124 SHERMAN AVE APT 17, NEW YORK, NY 10034-5516
(917) 691-9541
(718) 635-6289
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
001660
NY
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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