Individual
SHANNON HEFFERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
703 MAIN ST, ST. JOSEPH'S CHILDREN'S HOSPITAL, XAVIER 7, PATERSON, NJ 07503-2621
(973) 754-3463
(973) 754-3331
Mailing address
703 MAIN ST, ST. JOSEPH'S CHILDREN'S HOSPITAL, XAVIER 7, PATERSON, NJ 07503-2621
(973) 754-3463
(973) 754-3331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05111400
NJ
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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