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Individual

TAMMARRA DAVON KIRKLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
40 EISENHOWER DR STE 209, PARAMUS, NJ 07652-1404
(201) 843-5218
Mailing address
PO BOX 742, UNION, NJ 07083
(732) 421-1571

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/06/2022
Last updated
04/06/2022
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