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Individual

SHAHIRAH GILLESPIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH

Contact information

Practice address
945 KENMORE AVE APT 210, KENMORE, NY 14223-3180
(716) 392-7030
Mailing address
77 GOODELL ST STE 46, BUFFALO, NY 14203-1243
(716) 835-9358

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
174H00000X
Health Educator
251K00000X
Public Health or Welfare Agency
372500000X
Chore Provider
372600000X
Adult Companion
374J00000X
Doula
Primary
376J00000X
Homemaker

Other

Enumeration date
12/28/2020
Last updated
12/28/2020
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