Individual
TKEYAH HOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 MILL RD, PLEASANTVILLE, NJ 08232-1335
(609) 300-4022
Mailing address
32 WAGON WHEEL DR, SICKLERVILLE, NJ 08081-4805
(609) 300-4022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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