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1639830003
SHABIEKO SHANNON IVY
BROOKLYN, NY
NPI
1639830003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY P113453)
Enumeration Date
2022-01-06
Last Update Date
2022-01-06
Business Address
SHABIEKO SHANNON IVY
493 NOSTRAND AVE STE 3
BROOKLYN, NY 11216-5118
Phone number: 718-230-1379
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Mailing Address
SHABIEKO SHANNON IVY
493 NOSTRAND AVE STE 3
BROOKLYN, NY 11216-5118
Phone number: 718-230-1379
Copy
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