Individual
BRANDON CLARK SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAT
Contact information
Practice address
141 W 28TH ST RM 301, NEW YORK, NY 10001-6115
(943) 300-9204
Mailing address
8555 RIVERBIRCH DR, ROSWELL, GA 30076-3929
(943) 300-9204
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
002876
NY
Other
Enumeration date
03/30/2023
Last updated
12/31/2025
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