Individual
SHIRELLE CHISLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GALLOPING HILL ROAD SUIT 301, UNION, NJ 07083
(908) 686-1505
Mailing address
1010 CLINTON AVENUE B-10, IRVINGTON, NJ 07111
(973) 757-7896
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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