Individual
MRS. SHANNON ELIZABETH ZICCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
300 CORPORATE CENTER DR STE 100, MANALAPAN, NJ 07726-8737
(866) 557-8669
Mailing address
300 CORPORATE CENTER DR STE 100, MANALAPAN, NJ 07726-8737
(866) 557-8669
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05198800
NJ
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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