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1023739844
SHELLY ANTOINETTE JETER
NEW YORK, NY
NPI
1023739844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 012812)
Enumeration Date
2022-09-09
Last Update Date
2022-09-09
Business Address
SHELLY ANTOINETTE JETER LMHC
114 5TH AVE
NEW YORK, NY 10011-5604
Phone number: 215-440-6626
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Mailing Address
SHELLY ANTOINETTE JETER LMHC
41 ELM ST
CENTRAL ISLIP, NY 11722-4146
Phone number: 631-334-5907
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