Individual
CELENA MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 W DOMINICK ST STE 1, ROME, NY 13440-5878
(315) 272-2730
Mailing address
199 W DOMINICK ST STE 1, ROME, NY 13440-5878
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
NY
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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