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Individual
SHANICE JOHN
Active
Individual
SHANICE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
27628
NY
104100000X
Social Worker
Primary
103352
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103352
UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPT
NY
Enumeration date
10/15/2012
Last updated
04/04/2022
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