Individual
TAMAIRA MORTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5114 RADNOR CT, MAYS LANDING, NJ 08330-2632
(609) 442-5258
Mailing address
5114 RADNOR CT, MAYS LANDING, NJ 08330-2632
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06462800
NJ
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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