Individual
SHAHEED MUSLIM SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 JOHNSON AVE, LAWRENCEVILLE, NJ 08648-3418
(609) 532-2384
(609) 771-0054
Mailing address
208 JOHNSON AVE, LAWRENCEVILLE, NJ 08648-3418
(609) 532-2384
(609) 771-0054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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