Individual
MYASIA SHAKIRA MARSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 CHURCH ST FL 19, NEW HAVEN, CT 06510-2100
(732) 204-1635
Mailing address
34 MERRELL AVE, STAMFORD, CT 06902-3649
(914) 582-4162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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