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Individual

CAROL SHEPHEARD-WALWYN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
73 OAKWOOD AVE, MONTCLAIR, NJ 07043-1916
(917) 755-2223
Mailing address
73 OAKWOOD AVE, MONTCLAIR, NJ 07043-1916
(917) 755-2223

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
08/12/2021
Last updated
08/12/2021
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