Individual
JUANITA AVILES-CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 E ST, MILLVILLE, NJ 08332-2645
(856) 504-8118
Mailing address
415 E ST, MILLVILLE, NJ 08332-2645
(856) 504-8118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00832000
NJ
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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