Clarencia Shade, LCSW
NPI #1528376928 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1528376928
- Entity Type
- Individual
- Name
- Clarencia Shade, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 20, 2010
- Last Updated
- Sep 20, 2010
Practice Location
- Address
- 2130 MILLBURN AVE
- Address 2
- SUITE D1
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-3725
- Phone
- (973) 763-8123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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