Individual
SHELBY ROSE SPRUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 N STAR RD, CLOSTER, NJ 07624-2306
(201) 739-6616
Mailing address
12 N STAR RD, CLOSTER, NJ 07624-2306
(201) 739-6616
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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