Individual
COURTLYN SHIMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
425 E 61ST ST PH, NEW YORK, NY 10065-8722
(914) 682-5453
Mailing address
126 DOUGLASS ST APT 2, BROOKLYN, NY 11217-2945
(310) 633-4656
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117508-01
NY
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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