Individual
JESSICA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 HARRISTOWN RD, GLEN ROCK, NJ 07452-3308
(201) 297-9167
Mailing address
67 STANLEY AVE, NUTLEY, NJ 07110-1421
(201) 937-8879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01240200
NJ
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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