Individual
JAMIE L TANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
901 ROUTE 168, SUITE 404A, TURNERSVILLE, NJ 08012-3210
(610) 644-6464
(610) 889-0732
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 889-0732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
44SL05762800
NJ
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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