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1598269623
SHAHEED MUSLIM SHABAZZ
LAWRENCEVILLE, NJ
NPI
1598269623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
SHAHEED MUSLIM SHABAZZ
208 JOHNSON AVE
LAWRENCEVILLE, NJ 08648-3418
Phone number: 609-532-2384
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Mailing Address
SHAHEED MUSLIM SHABAZZ
208 JOHNSON AVE
LAWRENCEVILLE, NJ 08648-3418
Phone number: 609-532-2384
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