Individual
DARRELL PETER SHOULARS
Active
Individual
DARRELL PETER SHOULARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.A.
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
778909
NJ
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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