Individual
JACQUELINE ANN IMBROGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP/L
Contact information
Practice address
57 E MERCHANT ST, AUDUBON, NJ 08106-1059
(610) 804-8382
Mailing address
2230 ROUTE 70 W STE 2, 1141, CHERRY HILL, NJ 08002
(610) 804-8382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01119300
NJ
235Z00000X
Speech-Language Pathologist
SL009251
PA
Other
Enumeration date
06/01/2023
Last updated
06/07/2023
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