Individual
TANYA PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 TOLL GATE CT, SICKLERVILLE, NJ 08081-5669
(215) 317-4871
Mailing address
6 TOLLGATE COURT, SICKLERVILLE, NJ 08081
(215) 317-4871
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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