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Individual
JENNIFER SHIELDS
Active
Individual
JENNIFER SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, NCC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC00034800
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00034800
NJ
Other
Enumeration date
01/24/2007
Last updated
03/27/2012
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