Individual
MS. MONIQUE IYUANNA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
182 PARK ST, EAST ORANGE, NJ 07017-1116
(848) 433-2222
Mailing address
182 PARK ST, EAST ORANGE, NJ 07017-1116
(848) 433-2222
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
261QA0600X
NJ
Other
Enumeration date
07/10/2024
Last updated
08/11/2024
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