Individual
SHANNON M BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
901 ROUTE 168, SUITE 104, TURNERSVILLE, NJ 08012-3210
(856) 816-7114
Mailing address
126 MANTUA BLVD, MANTUA, NJ 08051-1057
(856) 873-7001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05748800
NJ
Other
Enumeration date
07/28/2013
Last updated
07/28/2013
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