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Individual
ELYSE VENA
Active
Individual
ELYSE VENA
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
242.003383
IL
235Z00000X
Speech-Language Pathologist
Primary
41YS00885100
NJ
Other
Enumeration date
06/09/2015
Last updated
01/03/2017
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