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1104465897
ERIN KATHLEEN SHORT
WAYNE, NJ
NPI
1104465897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
Mrs. ERIN KATHLEEN SHORT
1022 HAMBURG TPKE
WAYNE, NJ 07470-3209
Phone number: 973-694-1234
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Mailing Address
Mrs. ERIN KATHLEEN SHORT
123 HARVEST LN
LINCOLN PARK, NJ 07035-2045
Phone number:
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