Individual
MABLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 E 22ND ST STE 1, BAYONNE, NJ 07002-3709
(862) 223-8002
Mailing address
6 COYNE CT, BERGENFIELD, NJ 07621-1203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NJ
Other
Enumeration date
07/29/2017
Last updated
07/29/2017
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