Individual
MRS. JESSICA BORAM CHARKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 FAIRVIEW TER, MAPLEWOOD, NJ 07040-2006
(646) 245-7355
Mailing address
4 FAIRVIEW TER, MAPLEWOOD, NJ 07040-2006
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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