Individual
SHATANA SA'SHAE DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 247-5928
Mailing address
964 MICHAEL AVE, VINELAND, NJ 08360-6214
(856) 300-9467
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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