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Organization

SECOND LANGUAGE LITERACY LEARNING CONNECTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH JILL CHITESTER MS (CEO SLLLC)
(732) 642-5118
Entity
Organization

Contact information

Practice address
107 NEWMAN CT, PENNINGTON, NJ 08534-5198
(732) 642-5118
Mailing address
107 NEWMAN CT, PENNINGTON, NJ 08534-5198
(732) 642-5118

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00460500
NJ
252Y00000X
Early Intervention Provider Agency
41YS00460500
NJ
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
06/30/2010
Last updated
06/30/2010
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