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Individual

MICHAEL TRAINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
125 NED DR, LAKEWOOD, NJ 08701-5101
(732) 363-7937
(732) 730-5968
Mailing address
125 NED DR, LAKEWOOD, NJ 08701-5101
(732) 363-7937
(732) 730-5968

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00633300
NJ

Other

Enumeration date
01/10/2014
Last updated
01/10/2014
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