Individual
SHENESSE ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1083 MAGNOLIA AVE, ELIZABETH, NJ 07201-1482
(303) 949-8852
Mailing address
1083 MAGNOLIA AVE, ELIZABETH, NJ 07201-1482
(303) 949-8852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112247-01
NY
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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