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Individual

MILENA P. GOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATR-BC, LCPAT

Contact information

Practice address
5010 SUNNYSIDE AVE, SUITE 201, BELTSVILLE, MD 20705-2320
(301) 474-0060
Mailing address
5010 SUNNYSIDE AVE, SUITE 201, BELTSVILLE, MD 20705-2320

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
001438
NY
221700000X
Art Therapist
Primary
ATC066
MD

Other

Enumeration date
06/20/2014
Last updated
06/20/2014
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