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1255842464
SHACKOLA SAMANTHA SYMONS
NEW ROCHELLE, NY
NPI
1255842464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 006456-1)
Enumeration Date
2017-10-14
Last Update Date
2017-10-14
Business Address
SHACKOLA SAMANTHA SYMONS LMHC, NCC
481 MAIN ST
NEW ROCHELLE, NY 10801-6324
Phone number: 914-355-2440
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Mailing Address
SHACKOLA SAMANTHA SYMONS LMHC, NCC
362 S 4TH AVE
MOUNT VERNON, NY 10550-4132
Phone number: 718-614-2093
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