Individual
TABATHA ANN MEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAS
Contact information
Practice address
198 BELLEVUE AVE, MONTCLAIR, NJ 07043-1892
(973) 703-1408
Mailing address
7 JOHNSON RD, WEST ORANGE, NJ 07052-3516
(973) 703-1408
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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