Individual
JACLYN KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 LINCOLN AVE, COLONIA, NJ 07067-4040
(732) 770-3588
Mailing address
149 IRON ORE RD, MANALAPAN, NJ 07726-8030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14449999
NJ
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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