Individual
TSOGOLO SHARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 S 16TH ST APT 1, NORFOLK, NE 68701-5642
(402) 518-1587
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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