Individual
MS. KRISTA SHEA HASENFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
655 EAST JERSEY STREET, ELIZABETH, NJ 07206
(908) 994-7040
Mailing address
19 MADISON STREET, MORRISTOWN, NJ 07960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05542900
NJ
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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