Individual
MRS. JENNIFER CARLISLE WALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
14 BRIDGEWATERS DR, SUITE A, OCEANPORT, NJ 07757-1162
(732) 542-6600
(732) 542-6606
Mailing address
10 TEABURY LN, OAKHURST, NJ 07755-1250
(732) 222-5797
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00290000
NJ
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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