Individual
TIKEYAH THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-0082
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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