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1841819844
SHANNON EASTHAM DE YCAZA
NEW YORK, NY
NPI
1841819844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 010379)
Enumeration Date
2020-04-10
Last Update Date
2022-02-14
Business Address
SHANNON EASTHAM DE YCAZA LMHC
353 LEXINGTON AVE SUITE 302
NEW YORK, NY 10016
Phone number: 646-397-0486
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Mailing Address
SHANNON EASTHAM DE YCAZA LMHC
25 OLD KINGS HWY N STE 13
DARIEN, CT 06820-4608
Phone number: 646-397-0486
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