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Individual

ERICA THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
211 BROADWAY STE 207, LYNBROOK, NY 11563-3290
(516) 825-6567
Mailing address
17 GRAY AVE, DIX HILLS, NY 11746-6732

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
21-395
221700000X
Art Therapist
P101097
NY

Other

Enumeration date
04/20/2021
Last updated
08/10/2023
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