Individual
MAIREAD WEGENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 421-3172
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 421-3172
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002494
NY
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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