Individual
LAUREN ANDREA MUPANOMUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
945 RIVER AVE STE 201, LAKEWOOD, NJ 08701-5675
(732) 833-3723
Mailing address
1275 ROCK AVE APT N8, NORTH PLAINFIELD, NJ 07060-3545
(732) 485-2474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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