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Individual

STEFANI BUCK-BIVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
851 ROUTE 73 N STE C, MARLTON, NJ 08053-1275
(856) 983-3390
Mailing address
1503 ROGERS WALK, MOUNT LAUREL, NJ 08054-3441
(609) 238-4724

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01069800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41YS01069800
STATE OF NEW JERSEY SLP LICENSE
NJ
Enumeration date
03/15/2021
Last updated
07/14/2023
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