Individual
TONYA DENISE KORSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18-20 LACKAWANNA PLZ, MONTCLAIR, NJ 07042-3642
(973) 969-1081
Mailing address
18-20 LACKAWANNA PLZ, MONTCLAIR, NJ 07042-3642
(973) 969-1081
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NJ
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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