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Individual

SHANNON PRIDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 725-2800
Mailing address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 725-2800

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05911600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0023701
NJ
05
0539198
NJ
05
7797403
NJ
Enumeration date
09/19/2019
Last updated
09/19/2019
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