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1932402252
SHIRA DEROSE
SANDUSKY, OH
NPI
1932402252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2010-12-08
Last Update Date
2023-01-24
Business Address
SHIRA DEROSE MS
1522 E PERKINS AVE STE A
SANDUSKY, OH 44870-7991
Phone number: 419-610-2308
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Mailing Address
SHIRA DEROSE MS
1522 E PERKINS AVE STE A
SANDUSKY, OH 44870-7991
Phone number: 419-610-2308
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