Most Relevant Information
Provider Data
| NPI Number: | 1003242421 |
| Provider Name: | SHANNON CRUZ-HERR LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 083516 |
Most Important Dates
| Enumeration Date: | 09/17/2013 |
| Last Updated: | 12/03/2018 |
Provider Practice Location
1841 BROADWAY
44
NEW YORK
NY
100237603
Practice Location Phone/Fax
| Phone: | 2123333444 |
| Fax: |
Provider Mailing Location
45 PLAZA ST W
2A
BROOKLYN
NY
112173952
Provider Mailing Phone/Fax
| Phone: | 7189389024 |
| Fax: |