Individual
KATE MCSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
848 W BAY AVE, BARNEGAT, NJ 08005-2126
(609) 660-0197
Mailing address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00216100
NJ
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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