SHANITA L BURCH

DIX HILLS, NY
NPI1982904066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  076436-1)
Enumeration Date2010-10-23
Last Update Date2010-10-23
Business Address
-- SHANITA L BURCH
151 BURRS LN
DIX HILLS, NY 11746-6052
Phone number: 631-643-8800
Mailing Address
-- SHANITA L BURCH
7 WILLOUGHBY ST
BRENTWOOD, NY 11717-4014
Phone number: 631-704-4155
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