Individual
MRS. ERIN KATHLEEN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 HAMBURG TPKE, WAYNE, NJ 07470-3209
(973) 694-1234
Mailing address
123 HARVEST LN, LINCOLN PARK, NJ 07035-2045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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