SHANE MARK TULL

BROOKLYN, NY
NPI1306857230
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  074557)
Enumeration Date2006-08-09
Last Update Date2013-04-12
Business Address
MR. SHANE MARK TULL LCSW
549 THROOP AVE 3F
BROOKLYN, NY 11216-2434
Phone number: 947-884-4135
Mailing Address
MR. SHANE MARK TULL LCSW
549 THROOP AVE 3F
BROOKLYN, NY 11216-2434
Phone number: 947-884-4135
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