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1972225977
SHAQUERA FOWLKES
MONTCLAIR, NJ
NPI
1972225977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
SHAQUERA FOWLKES
41 GLENRIDGE AVE APT 2R
MONTCLAIR, NJ 07042-4741
Phone number: 201-704-7966
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Mailing Address
SHAQUERA FOWLKES
125 GLENRIDGE AVE UNIT 1117
MONTCLAIR, NJ 07042-6842
Phone number: 201-247-6373
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