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1174158901
SHANICE FULLER
BRONX, NY
NPI
1174158901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 109170)
Enumeration Date
2020-03-12
Last Update Date
2020-03-12
Business Address
SHANICE FULLER
2250 HOLLAND AVE
BRONX, NY 10467-9402
Phone number: 718-798-7801
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Mailing Address
SHANICE FULLER
2250 HOLLAND AVE
BRONX, NY 10467-9402
Phone number:
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