Individual
STACEY DELOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
121 S EUCLID AVE, WESTFIELD, NJ 07090-2129
(908) 232-2903
Mailing address
121 S EUCLID AVE, WESTFIELD, NJ 07090-2129
(908) 232-2903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00971900
NJ
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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