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Individual

SHANEEK WITHERSPOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1034 N MAIN ST, WILLIAMSTOWN, NJ 08094-3161
(609) 638-4180
Mailing address
41 BABCOCK LN, WILLINGBORO, NJ 08046-1603
(609) 638-4180

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
09/15/2023
Last updated
09/15/2023
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