Individual
MS. BENASHA D SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
16318 JAMAICA AVE, JAMAICA, NY 11432-4901
(718) 206-3440
Mailing address
191-50 112 ROAD, QUEENS, NY 11412
(803) 414-2696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081117
NY
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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