Individual
TANASHA DRIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
638 NEWARK AVE, JERSEY CITY, NJ 07306-2306
(862) 218-2646
Mailing address
545 CHAPMAN ST, HILLSIDE, NJ 07205-1722
(862) 218-2646
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06317700
NJ
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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