Individual
MS. AQEELA S SHAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
635 JAMES ST, SYRACUSE, NY 13203-2226
(315) 671-2942
(315) 671-2943
Mailing address
635 JAMES ST, SYRACUSE, NY 13203-2226
(315) 671-2942
(315) 671-2943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
062281
NY
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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