Individual
TANITA SHARELL REAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
22-08 ROUTE 208 STE 16, FAIR LAWN, NJ 07410-2609
(201) 956-6363
Mailing address
134 N 7TH ST, PATERSON, NJ 07522-1205
(973) 641-4802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/11/2021
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