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Individual

ANGELIQUE MURILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
78 RYERSON ST, BROOKLYN, NY 11205-2595
(866) 856-5615
Mailing address
89 KEASLER AVE, LODI, NJ 07644-1415

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00935200
NJ
235Z00000X
Speech-Language Pathologist
NY

Other

Enumeration date
06/22/2016
Last updated
07/03/2019
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