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1194872168
MICHELE DEE SHACKELFORD
NEW YORK, NY
NPI
1194872168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: NY 005459)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
-- MICHELE DEE SHACKELFORD Ph.D.
1430 2ND AVE SUITE 103
NEW YORK, NY 10021-3313
Phone number: 212-434-4594
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Mailing Address
-- MICHELE DEE SHACKELFORD Ph.D.
420 E 54TH ST APT. 33B
NEW YORK, NY 10022-5179
Phone number: 917-322-0455
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