Individual
JO-ANN MAY TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
654 E JERSEY ST, ELIZABETH, NJ 07206-1261
(908) 994-7165
Mailing address
654 E JERSEY ST, ELIZABETH, NJ 07206-1261
(908) 994-7165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05928100
NJ
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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