Individual
MS. TANEISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 S CENTER ST, ORANGE, NJ 07050-3205
(973) 675-3817
(973) 414-0031
Mailing address
279 N MAPLE AVE, EAST ORANGE, NJ 07017-4504
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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