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1114178209
SHANA FONTAINE
NEW YORK, NY
NPI
1114178209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05696500)
Enumeration Date
2008-10-07
Last Update Date
2022-06-23
Business Address
SHANA FONTAINE
1301 5TH AVE
NEW YORK, NY 10029-3119
Phone number: 212-426-3400
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Mailing Address
SHANA FONTAINE
1335 THIERIOT AVE
BRONX, NY 10472-1919
Phone number:
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