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1720588007
MARY ELLEN RITA SHEA
MAHWAH, NJ
NPI
1720588007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2018-02-13
Last Update Date
2018-02-13
Business Address
MRS. MARY ELLEN RITA SHEA LSW
860 WYCKOFF AVE
MAHWAH, NJ 07430-3186
Phone number: 201-485-7172
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Mailing Address
MRS. MARY ELLEN RITA SHEA LSW
860 WYCKOFF AVE
MAHWAH, NJ 07430-3186
Phone number: 201-637-4997
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