Individual
JASMINE NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 RUSSELL PL, SUMMIT, NJ 07901-3814
(908) 848-7116
Mailing address
48 RUSSELL PL, SUMMIT, NJ 07901-3814
(908) 848-7116
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
N666513887558882
NJ
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
N66513887558882
NJ
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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