Individual
SHANET DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
175 W 72ND ST, NEW YORK, NY 10023-3203
(951) 823-4394
Mailing address
505 W 54TH ST APT 713, NEW YORK, NY 10019-5059
(951) 823-4394
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001538-1
NY
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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