Individual
CURTIS TAREEK BRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 WISTERIA DR APT 3C, FORDS, NJ 08863-1126
(862) 944-6282
Mailing address
11 WISTERIA DR APT 3C, FORDS, NJ 08863-1126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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