Individual
FORKPA KORLEWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 W BRANCH AVE, PINE HILL, NJ 08021-7084
(856) 783-0947
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2015
Last updated
07/11/2015
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