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1568849727
KANESHA MIREKO
EDISON, NJ
NPI
1568849727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-04-27
Last Update Date
2019-11-08
Business Address
KANESHA MIREKO
10 PARSONAGE RD STE 318
EDISON, NJ 08837-2429
Phone number: 732-204-1635
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Mailing Address
KANESHA MIREKO
10 PARSONAGE RD STE 318
EDISON, NJ 08837-2429
Phone number: 732-204-1635
Copy
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