Individual
TAMEKA GREEN FOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12 PROSPECT ST, BLOOMFIELD, NJ 07003-3211
(973) 418-3191
Mailing address
942 STACY PL, RAHWAY, NJ 07065-2144
(973) 418-3191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00472100
NJ
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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