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1265946404
NICOLE DANIELLE AJENISHE
BROOKLYN, NY
NPI
1265946404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 9762953)
Enumeration Date
2017-11-27
Last Update Date
2017-11-27
Business Address
NICOLE DANIELLE AJENISHE LCSW
6209 16TH AVE
BROOKLYN, NY 11204-2702
Phone number: 718-234-0073
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Mailing Address
NICOLE DANIELLE AJENISHE LCSW
1054 STAFFORD RD
VALLEY STREAM, NY 11580-1822
Phone number: 516-263-3996
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