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1689208613
SHANIQUE MARTIN
WOODBURY, NJ
NPI
1689208613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SL06258700)
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
SHANIQUE MARTIN
58 EUCLID ST
WOODBURY, NJ 08096-4626
Phone number: 856-628-4504
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Mailing Address
SHANIQUE MARTIN
58 EUCLID ST
WOODBURY, NJ 08096-4626
Phone number: 856-628-4504
Copy
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LIFE DESIGN BEHAVIORAL HEALTH, LLC