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1063259182
SAMUEL SHIELDS
TRENTON, NJ
NPI
1063259182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NJ 37AC00679300)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
SAMUEL SHIELDS LAC
217 E HANOVER ST
TRENTON, NJ 08608-1803
Phone number: 609-515-8411
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Mailing Address
SAMUEL SHIELDS LAC
2303 COUNTRY LN
EWING, NJ 08628-3333
Phone number: 609-273-8343
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