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Individual

SENOVIA ISHA BOONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSED

Contact information

Practice address
102 CUMBERLAND WALK APT 7E, BROOKLYN, NY 11205-2126
(917) 683-9503
Mailing address
102 CUMBERLAND WALK APT 7E, BROOKLYN, NY 11205-2126
(917) 683-9503

Taxonomy

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

Other

Enumeration date
10/06/2017
Last updated
10/06/2017
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