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1689071136
SHANEQUA MACK
BRONX, NY
NPI
1689071136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 084464)
Enumeration Date
2014-11-28
Last Update Date
2014-11-28
Business Address
Ms. SHANEQUA MACK LMSW
2121 CEDAR AVE APT 10E
BRONX, NY 10468-5536
Phone number: 646-261-3798
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Mailing Address
Ms. SHANEQUA MACK LMSW
2121 CEDAR AVE APT 10E
BRONX, NY 10468-5536
Phone number: 646-261-3798
Copy
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