Henry, Shaun Burgess

Henry, Shaun Burgess is an individual health care provider with primary practice located at 385 Tremont Ave , East Orange NJ 07018-1023. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Henry, Shaun Burgess can be contacted via phone (973) 676-1000.

Contact Information

Primary practice address
385 Tremont Ave East Orange NJ 07018-1023
Phone: (973) 676-1000
Fax: (973) 395-7003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 077314 New York

Profile Details

NPI number 1104130509
LBN Legal business name Henry, Shaun Burgess
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2010
Last updated Jun 11th, 2020 - about 4 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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