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Organization
SOUTH JERSEY SPEECH LANGUAGE PATHOLOGY
Active
Organization
SOUTH JERSEY SPEECH LANGUAGE PATHOLOGY
Active
Other names
SJSLP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIBEL WILLSON M.S., CCC-SLP (OWNER)
(646) 234-3756
Entity
Organization
Contact information
Practice address
1118 PARK AVE, COLLINGSWOOD, NJ 08108-3317
(646) 234-3756
(856) 210-7488
Mailing address
1118 PARK AVE, COLLINGSWOOD, NJ 08108-3317
(646) 234-3756
(856) 210-7488
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
41YS00849400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114259850
—
NY
Enumeration date
01/17/2018
Last updated
06/16/2018
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