Individual
SHAKEIRA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 DELAWARE ST, WOODBURY, NJ 08096-5931
(856) 304-0578
Mailing address
45 DELAWARE ST, WOODBURY, NJ 08096-5931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NJ
106H00000X
Marriage & Family Therapist
Primary
—
NJ
Other
Enumeration date
07/30/2019
Last updated
10/29/2024
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