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Individual

ALICE E SHOCKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
69 MAIN ST APT G, STAMFORD, NY 12167-1160
(908) 910-9649
Mailing address
69 MAIN ST APT G, STAMFORD, NY 12167-1160
(908) 910-9649

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128879
NY

Other

Enumeration date
09/11/2025
Last updated
09/11/2025
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