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1063881217
SHAWN LIGHTBURN
BRONX, NY
NPI
1063881217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 091926)
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
-- SHAWN LIGHTBURN LMSW
334 E 148TH ST FL 2
BRONX, NY 10451-5707
Phone number: 718-401-5050
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Mailing Address
-- SHAWN LIGHTBURN LMSW
334 E 148TH ST FL 2
BRONX, NY 10451-5707
Phone number: 718-401-5050
Copy
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