Individual
MRS. KELLENE MCCALL COULOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
102 INDEPENDENCE DR, WOODBURY, NJ 08096-6874
(856) 469-7187
Mailing address
102 INDEPENDENCE DR, WOODBURY, NJ 08096-6874
(856) 469-7187
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00729200
NJ
Other
Enumeration date
03/11/2014
Last updated
06/21/2016
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