Taharka Sankara LCADC, LSW

NPI 1043553829 - Social Worker - 104100000X

NPI Details
NPI 1043553829
Gender Male
Enumeration Date 03/31/2013
Last Updated 03/07/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
36 SHREWSBURY DR
LONG BRANCH NJ, 07740-7619, US
Phone (732) 272-1340
Fax (732) 272-1390
Business Location
36 SHREWSBURY DR
LONG BRANCH NJ, 07740-7619, US
Phone (732) 337-8323
Fax (732) 553-1293
Toxanomy
Taxonomy Code 104100000X
License State New Jersey
License Number 44SL05817800
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According to our database, Mr. Taharka Sankara LCADC, LSW NPI is 1043553829, taxonomy code is 104100000X and license number is 44SL05817800, license state is located at New Jersey. Taharka Sankara LCADC, LSW physically located at 36 Shrewsbury Dr, Long Branch NJ, 07740-7619. NPI Number Taharka Sankara LCADC, LSW has the Individual type.

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1043553829 NPI number is provided on an as is basis without warranty of any kind. 1043553829 is maintained by the National Plan & Provider Enumeration System. The contents of Taharka Sankara LCADC, LSW are for informational purposes only.