Individual
DANIELLE SHOCKLEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2553 S 8TH ST # I2, CAMDEN, NJ 08104-2521
(856) 261-9789
Mailing address
2553 S 8TH ST # I2, CAMDEN, NJ 08104-2521
(856) 261-9789
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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