Individual provider · NPI-1

Chepell Anderson

Case Manager/Care Coordinator · Newark, NJ

NPI number1023840626
StatusActive
Last updated in NPPESAug 14, 2024

Details

NPI
1023840626
Entity type
Individual (NPI-1)
Name
Chepell Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2024
Certification date
Aug 13, 2024
Last updated
Aug 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1091 Broad St
Newark, NJ 07114

Phone 201-589-8014

Mailing address

1091 Broad St
Newark, NJ 07114

Phone 201-589-8014

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