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1053774927
SHANELL WYATT
WESTAMPTON, NJ
NPI
1053774927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
-- SHANELL WYATT
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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Mailing Address
-- SHANELL WYATT
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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