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1124662929
LANEY ELIZABETH WALLACE
NEW YORK, NY
NPI
1124662929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
221700000X Art Therapist
(Licence: NY 002041)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
LANEY ELIZABETH WALLACE MPS, LCAT, ATR-BC
515 MADISON AVE FL 21
NEW YORK, NY 10022-5433
Phone number: 515-577-6281
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Mailing Address
LANEY ELIZABETH WALLACE MPS, LCAT, ATR-BC
300 COLES ST APT 506
JERSEY CITY, NJ 07310-1046
Phone number:
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