Individual
KAREN MARIE CODD FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, LCAT, ATR-BC
Contact information
Practice address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2897
(718) 206-7160
Mailing address
364 S 1ST ST APT 20, BROOKLYN, NY 11211-4725
(917) 256-9665
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001953
NY
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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