Individual
DOROTEA SHANELLE ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1060 KINGS HWY N STE 314, CHERRY HILL, NJ 08034-1910
(856) 285-5861
Mailing address
129 E ATLANTIC AVE, AUDUBON, NJ 08106-1431
(856) 981-1515
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07233800
NJ
Other
Enumeration date
08/31/2022
Last updated
01/28/2025
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