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1073214763
NYSHEKA ETRENA MACK
WASHINGTON, DC
NPI
1073214763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-03-10
Last Update Date
2023-07-12
Business Address
NYSHEKA ETRENA MACK
1212 TALBERT ST SE APT 201
WASHINGTON, DC 20020-5211
Phone number: 443-969-5426
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Mailing Address
NYSHEKA ETRENA MACK
1212 TALBERT ST SE APT 201
WASHINGTON, DC 20020-5211
Phone number: 443-969-5426
Copy
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