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1770065054
JAID BARRYMORE
NEW YORK, NY
NPI
1770065054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 008818)
Enumeration Date
2018-09-03
Last Update Date
2018-09-03
Business Address
JAID BARRYMORE LMHC
51 E 25TH ST LOWR LEVEL
NEW YORK, NY 10010-2945
Phone number: 323-553-1782
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Mailing Address
JAID BARRYMORE LMHC
12 E 22ND ST APT 8E
NEW YORK, NY 10010-6112
Phone number: 646-369-8984
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