Individual
CHRISTIANA TACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 FLORENCE AVE, WESTVILLE, NJ 08093-2021
(856) 899-8195
Mailing address
137 FLORENCE AVE, WESTVILLE, NJ 08093-2021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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