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1770521155
SHANE CLINTON JAYNES
ITHACA, NY
NPI
1770521155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY R070758)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2006-06-04
Last Update Date
2008-09-08
Business Address
Dr. SHANE CLINTON JAYNES LCSWR
1481 TRUMANSBURG RD
ITHACA, NY 14850
Phone number: 607-256-7639
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Mailing Address
Dr. SHANE CLINTON JAYNES LCSWR
1481 TRUMANSBURG RD
ITHACA, NY 14850
Phone number: 607-256-7639
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