Individual
MARY E GUILLERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT, R-DMT
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 273-7601
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 273-7601
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002853-01
NY
225600000X
Dance Therapist
R-DMT-2476
NY
Other
Enumeration date
09/15/2021
Last updated
05/30/2024
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