Individual
NIA TAYLOR-MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 EVERGREEN PL STE 200B, EAST ORANGE, NJ 07018-2114
(973) 580-4277
Mailing address
60 EVERGREEN PL STE 200B, EAST ORANGE, NJ 07018-2114
(973) 580-4277
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37LC00096500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568608305
ISSUER
—
Enumeration date
06/28/2019
Last updated
06/28/2019
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