Individual
SHANICE ASH JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1378ALBANY AVE, BROOKLYN, NY 11203-5638
(718) 974-7086
Mailing address
1378 ALBANY AVE, BROOKLYN, NY 11203-5638
(718) 974-7086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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