Individual
CASSANDRA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2417
(609) 978-0600
Mailing address
152 MORTON DR, MANAHAWKIN, NJ 08050-4530
(732) 275-7326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-2921
NJ
Other
Enumeration date
06/14/2017
Last updated
10/09/2017
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