Individual
JENNIFER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.A.T.
Contact information
Practice address
526 W 26TH ST, SUITE 309, NEW YORK, NY 10001-5517
(917) 864-6811
Mailing address
526 W 26TH ST, SUITE 309, NEW YORK, NY 10001-5517
(917) 864-6811
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000882
NY
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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