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1962013516
SHIRLEY SANDERSON
BROOKLYN, NY
NPI
1962013516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 693464)
Enumeration Date
2020-08-16
Last Update Date
2020-08-16
Business Address
SHIRLEY SANDERSON
242 FOUNTAIN AVE
BROOKLYN, NY 11208-2516
Phone number: 718-300-1414
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Mailing Address
SHIRLEY SANDERSON
242 FOUNTAIN AVE
BROOKLYN, NY 11208-2516
Phone number: 718-300-1414
Copy
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