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Individual
MRS. SHAMAKI LASHA MACK
Active
Individual
MRS. SHAMAKI LASHA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00869000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS0086900
NEW JERSEY OFFICE OF THE ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
07/25/2017
Last updated
07/25/2017
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