Individual
NIKKI BRUCE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
473 MERRICK RD APT 4, LYNBROOK, NY 11563-2480
(516) 319-1979
Mailing address
473 MERRICK RD APT 4, LYNBROOK, NY 11563-2480
(516) 319-1979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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