Individual
ANDREW TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
109 COLES WAY, LAKEWOOD, NJ 08701-4885
(610) 757-5398
Mailing address
109 COLES WAY, LAKEWOOD, NJ 08701-4885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07357900
NJ
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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