Landrum, Dae'Quawn

Landrum, Dae'Quawn is an individual health care provider with primary practice located at 12 Wisteria Dr Apt 1L , Fords NJ 08863-1114. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Landrum, Dae'Quawn can be contacted via phone (443) 983-3059.

Contact Information

Primary practice address
12 Wisteria Dr Apt 1L Fords NJ 08863-1114
Phone: (443) 983-3059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37AC00490900 New Jersey

Profile Details

NPI number 1942828629
LBN Legal business name Landrum, Dae'Quawn
Credentials LPC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2020
Last updated Jun 18th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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