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1538646567
NICOLE JUANITA INNISS
BROOKLYN, NY
NPI
1538646567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
221700000X Art Therapist
(Licence: NY 002237)
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
NICOLE JUANITA INNISS LCAT
483 CLERMONT AVE
BROOKLYN, NY 11238-2253
Phone number: 718-643-5300
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Mailing Address
NICOLE JUANITA INNISS LCAT
1756 W 1ST ST APT 2F
BROOKLYN, NY 11223-1726
Phone number: 347-274-5361
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