Individual
MS. CHANA IMANI JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BM, MT-BC
Contact information
Practice address
119 SHEPHARD AVE, NEWARK, NJ 07112-3307
(917) 569-2836
Mailing address
119 SHEPHARD AVE, NEWARK, NJ 07112-3307
(917) 569-2836
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
15112
NY
Other
Enumeration date
07/18/2022
Last updated
07/25/2022
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