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1770291411
SHANNON ALYS ITJEN
HASBROUCK HEIGHTS, NJ
NPI
1770291411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SL06535000)
Enumeration Date
2022-11-11
Last Update Date
2022-11-11
Business Address
SHANNON ALYS ITJEN
611 US HIGHWAY 46 W STE 100
HASBROUCK HEIGHTS, NJ 07604-3120
Phone number: 201-478-4175
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Mailing Address
SHANNON ALYS ITJEN
611 US HIGHWAY 46 W STE 100
HASBROUCK HEIGHTS, NJ 07604-3120
Phone number:
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