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Organization

WHERE TO TURN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAIL SHIELDS LCSW (OWNER)
(732) 718-0932
Entity
Organization

Contact information

Practice address
17 SPRINGFIELD RD, EAST BRUNSWICK, NJ 08816-2643
(732) 718-0932
(732) 238-3888
Mailing address
17 SPRINGFIELD RD, E BRUNSWICK, NJ 08816-2643
(732) 718-0932
(732) 238-3888

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker
171400000X
Health & Wellness Coach
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
03/01/2024
Last updated
03/01/2024
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