Individual
KEISHA PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
69 FRANKLIN RD, TEANECK, NJ 07666-5918
(201) 488-0408
Mailing address
69 FRANKLIN RD, TEANECK, NJ 07666-5918
(862) 378-0780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07043600
NJ
1041S0200X
School Social Worker
1210200
NJ
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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