Individual
JAIME LYN LAVALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 ROUTE 36, SUITE 100A, LEONARDO, NJ 07737
(732) 639-1551
Mailing address
1208 ROUTE 34, ABERDEEN, NJ 07747-1940
(732) 705-1582
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
07/10/2019
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