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Individual
STEFANI BUCK-BIVENS
Active
Individual
STEFANI BUCK-BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01069800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS01069800
STATE OF NEW JERSEY SLP LICENSE
NJ
Enumeration date
03/15/2021
Last updated
07/14/2023
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