Individual
TANISHA MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 W 24TH ST APT 16D, BROOKLYN, NY 11224-2353
(347) 598-7662
Mailing address
2850 W 24TH ST APT 16D, BROOKLYN, NY 11224-2353
(347) 598-7662
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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