KISHEANA SHAW

BRONX, NY
NPI1265892673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-26
Last Update Date2016-02-26
Business Address
Miss KISHEANA SHAW M.S.
804 E 138TH ST
BRONX, NY 10454-1902
Phone number: 718-665-7500
Mailing Address
Miss KISHEANA SHAW M.S.
804 E 138TH ST
BRONX, NY 10454-1902
Phone number: 718-665-7500
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