Shelley, Kathleen

Shelley, Kathleen is an sole proprietor health care provider with primary practice located at 22 Robertson Rd , West Orange NJ 07052-3519. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shelley, Kathleen can be contacted via phone (973) 809-6574.

Contact Information

Primary practice address
22 Robertson Rd West Orange NJ 07052-3519
Phone: (973) 809-6574
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05864800 New Jersey

Profile Details

NPI number 1023659331
LBN Legal business name Shelley, Kathleen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2019
Last updated Oct 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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