Individual
MS. LORI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
187 MILLBURN AVE STE 110, MILLBURN, NJ 07041-1845
(973) 467-7976
Mailing address
99 MAIN ST, MILLBURN, NJ 07041-1323
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00495400
NJ
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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