Individual
SHAQUENIA GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 BLACK BEAR PATH, LAKE HOPATCONG, NJ 07849
(646) 236-0971
Mailing address
1345 BARNUM AVE STE 9, STRATFORD, CT 06614-5422
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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