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Search › New Jersey › 1041C0700X

Clarencia Shade, LCSW

NPI 1528376928 · on the registry since 2010 · sole proprietor

Practice

Address
2130 Millburn Ave
Suite D1
Maplewood, NJ 07040
Phone
(973) 763-8123
Fax
(973) 763-8243
Organisation at this address
Avedamed Llc
Kidney Care Pa
A Healthy Mind
Geneva Group Llc
Wanda Myers, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey