Individual
SHOSHANA LEAH KANAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1483 E SPRUCE ST, LAKEWOOD, NJ 08701-5444
(732) 276-5828
Mailing address
127 E 8TH ST, LAKEWOOD, NJ 08701-2020
(848) 223-3491
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06551900
NJ
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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