Individual
MR. DARRELL KEITH CHOATES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CARE GIVER
Contact information
Practice address
120 PEACE LN, GLASSBORO, NJ 08028-3221
(267) 078-3040
Mailing address
120 PEACE LN, GLASSBORO, NJ 08028-3221
(267) 078-3040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2017
Last updated
03/21/2020
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