Individual
CHARITA ANGELA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
526 JACKSON AVE, GLASSBORO, NJ 08028-3364
(856) 203-0443
Mailing address
526 JACKSON AVE, GLASSBORO, NJ 08028-3364
(856) 203-0443
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-305992
NJ
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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