Organization
JERRI SHANKLER MSW LCSW LCADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERRI SHANKLER MSW LCSW LCADC (OWNER)
(201) 452-1432
Entity
Organization
Contact information
Practice address
25 VALLEY DR, GLENWOOD, NJ 07418-1657
(201) 452-1432
Mailing address
25 VALLEY DR, GLENWOOD, NJ 07418-1657
(201) 452-1432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04391600
NJ
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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