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Individual

JENELLE AMBERLY DOROTTA KOTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3155 STATE ROUTE 10 STE 8, DENVILLE, NJ 07834-3492
(856) 519-5780
Mailing address
3155 STATE ROUTE 10 STE 8, DENVILLE, NJ 07834-3492
(856) 519-5780

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01369100
NJ
235Z00000X
Speech-Language Pathologist
Primary
TL-4647
NJ

Other

Enumeration date
10/03/2025
Last updated
02/04/2026
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