Individual
LATASHA NWAJAGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 PROSPECT AVE STE 210, HACKENSACK, NJ 07601-2570
(551) 996-9175
Mailing address
385 PROSPECT AVE STE 210, HACKENSACK, NJ 07601-2570
(551) 996-2204
(202) 548-8600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
44SL06750100
NJ
Other
Enumeration date
06/04/2021
Last updated
06/04/2024
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