Individual
LESHELLE EXILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 BROAD ST, NEWARK, NJ 07102-2503
(973) 399-1003
Mailing address
1008 BROAD ST, NEWARK, NJ 07102-2503
(973) 399-1003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07404400
NJ
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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