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Individual
MRS. MAUREEN DORMODY-SHIELDS
Active
Individual
MRS. MAUREEN DORMODY-SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ED., SDA
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
TEACHER
NY
01
—
17440000X-SPECIALIST
TEACHER
NY
Enumeration date
04/24/2014
Last updated
04/24/2014
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