Individual
MS. CHANDRA LYNN MUSTAFAA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 BROOME ST, NEWARK, NJ 07103-3327
(862) 576-4398
Mailing address
211 BROOME ST, NEWARK, NJ 07103-3327
(862) 576-4398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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