Individual
KELLEN POLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 AVENUE AT THE CMN STE 5, SHREWSBURY, NJ 07702-4586
(609) 388-8701
Mailing address
1 FLINTLOCK DR, HOWELL, NJ 07731-1623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06257500
NJ
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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