Individual
SAMANTHA P. TWIDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
149 AVENUE AT THE CMN STE 4, SHREWSBURY, NJ 07702-4583
(609) 388-8701
Mailing address
145 STOCKTON AVE, OCEAN GROVE, NJ 07756-1044
(732) 275-4878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06582200
NJ
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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