Individual
TELEGRE M SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 VALENTINE AVE APT 104, BRONX, NY 10457-3838
(917) 405-1939
Mailing address
2000 VALENTINE AVE APT 104, BRONX, NY 10457-3838
(191) 740-5193
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31161228
—
NY
Enumeration date
12/22/2020
Last updated
12/22/2020
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