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1336451160
SHARON DOREEN SHIMONOV
BRONX, NY
NPI
1336451160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 23571)
Enumeration Date
2010-07-09
Last Update Date
2010-07-09
Business Address
-- SHARON DOREEN SHIMONOV MA, CASAC-T
1510 WATERS PL
BRONX, NY 10461-2700
Phone number: 347-493-8543
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Mailing Address
-- SHARON DOREEN SHIMONOV MA, CASAC-T
1510 WATERS PL
BRONX, NY 10461-2700
Phone number: 347-493-8543
Copy
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