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Individual

KELLY R LOCASCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
401 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 513-2468
(609) 228-0678
Mailing address
401 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 513-2468
(609) 228-0678

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00791500
NJ

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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