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1366954083
SHANEA MCDOUGALD
BUFFALO, NY
NPI
1366954083
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Former Name
SHANEA JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-11-03
Last Update Date
2017-11-03
Business Address
SHANEA MCDOUGALD
1050 NIAGARA ST
BUFFALO, NY 14213-2007
Phone number: 716-710-4393
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Mailing Address
SHANEA MCDOUGALD
1050 NIAGARA ST
BUFFALO, NY 14213-2007
Phone number: 716-710-4393
Copy
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