Individual
MAYA CHRISTINE SHINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 FRONT AVE UNIT 238, COLUMBUS, GA 31901-6407
(732) 272-2858
Mailing address
1329 FRONT AVE UNIT 238, COLUMBUS, GA 31901-6407
(732) 272-2858
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00759600
NJ
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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