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Individual

SALISHA SHEARS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
435 E 92ND ST, 1F, BROOKLYN, NY 11212-1147
(917) 833-5505
Mailing address
435 E 92ND ST, 1F, BROOKLYN, NY 11212-1147
(917) 833-5505

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
252Y00000X
CITY PRO GROUP, INC.
Enumeration date
09/28/2014
Last updated
09/28/2014
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