Individual
NIA JANE'T SHERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 BEACH 112TH ST, ROCKAWAY PARK, NY 11694-2401
(718) 525-5550
Mailing address
1030 CLAYTON RD, VALLEY STREAM, NY 11580-1808
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
097379
NY
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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