Individual
CASIE ANNE SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4765 196TH ST, FLUSHING, NY 11358-3934
(917) 868-1251
Mailing address
4765 196TH ST, FLUSHING, NY 11358-3934
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1246994182
NY
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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