Individual
ZACHARY DYMOND-DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7620
Mailing address
151 CENTENNIAL AVE, PISCATAWAY, NJ 08854-3907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05747200
NJ
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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