Individual
ANGELA FORDHAM-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 HOPE ROAD, BUILDING #2, EATONTOWN, NJ 07724
(732) 684-3841
Mailing address
11 TREE LINE DR, FREEHOLD, NJ 07728-9288
(732) 684-3841
(732) 208-3737
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NJ
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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