Individual
MS. KAYLEIGH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
40 MORRIS LAKE RD, SPARTA, NJ 07871-3616
(201) 220-9345
Mailing address
40 MORRIS LAKE RD, SPARTA, NJ 07871-3616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06740000
NJ
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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