Individual
DR. GRACE WILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
594 3RD ST, BROOKLYN, NY 11215-3004
(718) 768-1262
(718) 788-5636
Mailing address
594 3RD ST, BROOKLYN, NY 11215-3004
(718) 768-1262
(718) 788-5636
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011305
NY
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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