Individual
MS. HOLLIS STEHLIN WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RDT, LCAT
Contact information
Practice address
91R MESEROLE ST, BROOKLYN, NY 11206-2053
(646) 710-0629
Mailing address
91R MESEROLE ST, BROOKLYN, NY 11206-2053
(646) 710-0629
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
002641
NY
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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