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:
Health care specialties
| Specialty | Code | License # | 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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