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Individual
MR. MICHAEL PATRICK SHEA
Active
Individual
MR. MICHAEL PATRICK SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
083691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083691
LMSW
NY
Enumeration date
02/14/2019
Last updated
02/14/2019
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