Individual
EVONNA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 WOODLANE RD, NONE, MT HOLLY, NJ 08060-3804
(609) 267-5928
Mailing address
6 ROLLING HILLS DR E, NONE, WESTAMPTON, NJ 08060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S31392566460902
NJ
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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