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Organization

LEAD CHARTER SCHOOL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMINE JOSEPH-FORMAN (CHIEF PROGRAM OFFICER)
(862) 772-1724
Entity
Organization

Contact information

Practice address
201 BERGEN ST, NEWARK, NJ 07103-2402
(862) 772-1724
Mailing address
201 BERGEN ST, NEWARK, NJ 07103-2402

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
103TS0200X
School Psychologist
1041S0200X
School Social Worker
Primary
163WS0200X
School Registered Nurse

Other

Enumeration date
02/07/2025
Last updated
02/07/2025
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