Individual
TARA TIMPONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 ROSSLEE AVE, NORTH HALEDON, NJ 07608-2625
(973) 617-0376
Mailing address
33 ROSSLEE AVE, NORTH HALEDON, NJ 07508-2625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06123100
NJ
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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