Individual
LESLIE SUSAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 QUENTIN RD, BROOKLYN, NY 11223-2341
(718) 998-3235
Mailing address
1007 QUENTIN RD, BROOKLYN, NY 11223-2341
(718) 998-3235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12551
NY
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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