Individual
LAURREN MICHELE TRIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
306 CRAWFORD ST, TINTON FALLS, NJ 07724-2953
(732) 859-3471
Mailing address
306 CRAWFORD ST, TINTON FALLS, NJ 07724-2953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00592300
NJ
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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