Individual
SHIRAH MARCOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
102 PILLING ST, BROOKLYN, NY 11207-1610
(718) 602-1000
Mailing address
404 MADISON ST APT 2, BROOKLYN, NY 11221-1103
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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