Individual
ANGELA BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, TLC- OUTPATIENT PROGRAM, NEWARK, NJ 07112
(973) 926-7812
(973) 926-2943
Mailing address
201 LYONS AVE, TLC- OUTPATIENT PROGRAM, NEWARK, NJ 07112
(973) 926-7812
(973) 926-2943
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06405900
NJ
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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