Individual
CORNELL AGBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 WARD PL, SOUTH ORANGE, NJ 07079-2122
(197) 322-3841
Mailing address
221 WARD PL, SOUTH ORANGE, NJ 07079-2122
(197) 322-3841
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NJ
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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