Colette Brantley, LSW

NPI 1013316512 · on the registry since 2014 · sole proprietor

Practice

Address: 642 Eagle Rock Ave
Suite 6
West Orange, NJ 07052
Phone: (862) 704-6391
Fax: (862) 704-6392
Organisation at this address: Rokah Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey