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1558973586
MAIZIE MARIE SHAW
SYRACUSE, NY
NPI
1558973586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 089572)
Enumeration Date
2020-08-20
Last Update Date
2023-11-27
Business Address
MAIZIE MARIE SHAW
660 MADISON STREET
SYRACUSE, NY 13210
Phone number: 315-426-7680
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Mailing Address
MAIZIE MARIE SHAW
620 MADISON ST
SYRACUSE, NY 13210-2338
Phone number: 315-426-3600
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