Individual
MS. SHANA MOBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2013 E 53RD ST, APT. # 2, BROOKLYN, NY 11234-4732
(347) 280-1635
Mailing address
2013 E 53RD ST, APT. # 2, BROOKLYN, NY 11234-4732
(347) 280-1635
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1147064
NY
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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