Shelley, Jacquelineb Marie

Shelley, Jacquelineb Marie is an sole proprietor health care provider with primary practice located at 200 Atlantic Ave , Lynbrook NY 11563-3505. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shelley, Jacquelineb Marie can be contacted via phone (516) 439-6527.

Contact Information

Primary practice address
200 Atlantic Ave Lynbrook NY 11563-3505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 040315-1-R New York

Profile Details

NPI number 1013186667
LBN Legal business name Shelley, Jacquelineb Marie
Credentials LCSW-R,ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2008
Last updated Feb 28th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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