Individual
MS. JENNIFER JEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
165 BEACH 116TH ST, ROCKAWAY PARK, NY 11694-2411
(718) 415-3878
Mailing address
195 BEACH 100TH ST, ROCKAWAY PARK, NY 11694-2822
(718) 415-3878
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001908
NY
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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