Individual
TAKIRA SHARAE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7100 AIRPORT HWY, PENNSAUKEN, NJ 08109-4302
(609) 707-9582
Mailing address
1168 BEIDEMAN AVE, CAMDEN, NJ 08105-4234
(856) 408-4192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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