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Individual
MRS. DANIELLE NICOLE GUERTIN
Active
Individual
MRS. DANIELLE NICOLE GUERTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00682100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121501107
CERTIFICATE OF CLINICAL COMPETENCE
—
01
—
41YS00682100
STATE OF NEW JERSEY SPEECH AND LANGUAGE LICENSE
NJ
Enumeration date
10/19/2022
Last updated
10/19/2022
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