Wilson, Shantia Marie

Wilson, Shantia Marie is an individual health care provider with primary practice located at 60 Cathy Ln , Burlington NJ 08016-9727. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wilson, Shantia Marie can be contacted via phone (609) 499-0603.

Contact Information

Primary practice address
60 Cathy Ln Burlington NJ 08016-9727
Phone: (609) 499-0603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1407289507
LBN Legal business name Wilson, Shantia Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2013
Last updated Aug 13th, 2013 - about 13 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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