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1962165654
SHANTINIQUE DEPASS
ROCHESTER, NY
NPI
1962165654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 108228)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
SHANTINIQUE DEPASS LMSW
1099 JAY ST
ROCHESTER, NY 14611-1153
Phone number: 585-328-0834
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Mailing Address
SHANTINIQUE DEPASS LMSW
671 POST AVE
ROCHESTER, NY 14619-2146
Phone number:
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