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1104130509
SHAUN BURGESS HENRY
EAST ORANGE, NJ
NPI
1104130509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 077314)
Enumeration Date
2010-07-28
Last Update Date
2020-06-11
Business Address
Mr. SHAUN BURGESS HENRY LCSW
385 TREMONT AVE
EAST ORANGE, NJ 07018-1023
Phone number: 973-676-1000
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Mailing Address
Mr. SHAUN BURGESS HENRY LCSW
385 TREMONT AVE
EAST ORANGE, NJ 07018-1023
Phone number: 973-676-1000
Copy
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