Individual
FATEEMAH SHAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1387 CHEWS LANDING RD, CLEMENTON, NJ 08021-2760
(856) 333-3930
Mailing address
2315 N COLLEGE AVE, PHILA, PA 19121-4809
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07246300
NJ
104100000X
Social Worker
SW142419
PA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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