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Shannon Marina Milley, LCSW

Social Worker, Clinical in Moorestown, NJ. Individual provider (NPI-1).

NPI number1609770486
StatusActive
Last updated in NPPESOct 6, 2026

Details

NPI
1609770486
Entity type
Individual (NPI-1)
Name
Shannon Marina Milley
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Oct 6, 2026
Certification date
Oct 6, 2026
Last updated
Oct 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical44SC06687500NJYes

Practice location

78 E 2nd St
Moorestown, NJ 08057-3304

Phone 856-316-6199

Mailing address

21 Devonshire Rd
Mount Laurel, NJ 08054-1905

Phone 856-316-6199

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