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1336676048
DOMINIQUE SHADE
ALBANY, NY
NPI
1336676048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 099317)
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
-- DOMINIQUE SHADE LMSW
75 NEW SCOTLAND AVE
ALBANY, NY 12208-3409
Phone number: 518-549-6500
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Mailing Address
-- DOMINIQUE SHADE LMSW
44 VOYAGE DR
GLENMONT, NY 12077-3514
Phone number: 518-545-0195
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