Clarencia Shade LCSW

NPI 1528376928 - Social Worker - 1041C0700X

NPI Details
NPI 1528376928
Gender Female
Enumeration Date 09/20/2010
Last Updated 09/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2130 MILLBURN AVE
SUITE D1
MAPLEWOOD NJ, 07040-3725, US
Phone (973) 763-8123
Fax (973) 763-8243
Business Location
2130 MILLBURN AVE
SUITE D1
MAPLEWOOD NJ, 07040-3725, US
Phone (973) 763-8123
Fax (973) 763-8243
Toxanomy
Taxonomy Code 1041C0700X
License State New Jersey
License Number 44SC01016900
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According to our database, Clarencia Shade LCSW NPI is 1528376928, taxonomy code is 1041C0700X and license number is 44SC01016900, license state is located at New Jersey. Clarencia Shade LCSW physically located at 2130 Millburn Ave, Maplewood NJ, 07040-3725. NPI Number Clarencia Shade LCSW has the Individual type.

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1528376928 NPI number is provided on an as is basis without warranty of any kind. 1528376928 is maintained by the National Plan & Provider Enumeration System. The contents of Clarencia Shade LCSW are for informational purposes only.