Individual
MRS. TAMEMA LEAH GOTLIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 KEW GARDENS DR, LAKEWOOD, NJ 08701-7101
(732) 363-4713
Mailing address
12 KEW GARDENS DR, LAKEWOOD, NJ 08701-7101
(732) 363-4713
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
908018
NJ
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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