Individual
SHAREATHA WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 EVERGREEN AVE, NORTH HALEDON, NJ 07508-2316
(732) 810-5510
Mailing address
11 EVERGREEN AVE, NORTH HALEDON, NJ 07508-2316
(732) 810-5510
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPRS-50440
NJ
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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