Individual
RACHEL MARIE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 AIRPORT RD STE 7G, LAKEWOOD, NJ 08701-5968
(732) 330-3769
Mailing address
725 AIRPORT RD STE 7G, LAKEWOOD, NJ 08701-5968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
05/15/2017
Last updated
05/15/2017
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