Individual
MRS. MICHELLE SHIMARA BENLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 340-9137
Mailing address
18 KRONENBERG ST, TINTON FALLS, NJ 07724-3342
(631) 565-9157
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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