Individual
TANESHIA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
472 EAST AVE, MILLVILLE, NJ 08332-7902
(856) 285-9499
Mailing address
472 EAST AVE, MILLVILLE, NJ 08332-7902
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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