SHAHEED MUSLIM SHABAZZ

LAWRENCEVILLE, NJ
NPI1598269623
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-03-22
Last Update Date2018-03-22
Business Address
SHAHEED MUSLIM SHABAZZ
208 JOHNSON AVE
LAWRENCEVILLE, NJ 08648-3418
Phone number: 609-532-2384
Mailing Address
SHAHEED MUSLIM SHABAZZ
208 JOHNSON AVE
LAWRENCEVILLE, NJ 08648-3418
Phone number: 609-532-2384