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1730945379
SHIRELL FAVOR
LATHAM, NY
NPI
1730945379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY P127229-01)
Enumeration Date
2024-02-22
Last Update Date
2024-02-22
Business Address
SHIRELL FAVOR
3 LEAR JET LN STE 104N
LATHAM, NY 12110-2314
Phone number: 518-560-4277
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Mailing Address
SHIRELL FAVOR
3 LEAR JET LN STE 104N
LATHAM, NY 12110-2314
Phone number: 518-560-4277
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