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Individual

SHEILA MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
123 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
(862) 420-3100
Mailing address
100 CLOVERDALE RD FL 2, CLIFTON, NJ 07013-1908
(551) 296-8197

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07045200
NJ

Other

Enumeration date
12/11/2023
Last updated
12/11/2023
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