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1053818500
SHANELL LEWIS
MELVILLE, NY
NPI
1053818500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
SHANELL LEWIS
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7795
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Mailing Address
SHANELL LEWIS
9 DWIGHT AVE
SPRING VALLEY, NY 10977-3102
Phone number:
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