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1437217403
MARY SHELLEY
ITHACA, NY
NPI
1437217403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY PR043869-1)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Ms. MARY SHELLEY LCSW
319 N TIOGA ST
ITHACA, NY 14850-4205
Phone number: 607-273-2312
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Mailing Address
Ms. MARY SHELLEY LCSW
109 PARK PL
ITHACA, NY 14850-4028
Phone number: 607-273-2312
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