Individual
MISS SHIRLEY BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
321 EAST TREMONT AVE, BRONX, NY 10457-5304
(718) 518-3755
Mailing address
321 EAST TREMONT AVE, BRONX, NY 10457
(718) 518-3755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7503
NY
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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