Individual
MAMTA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 13TH ST, SUITE 203, BROOKLYN, NY 11215-5004
(718) 788-2461
Mailing address
348 13TH ST, SUITE 203, BROOKLYN, NY 11215-5004
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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