Individual
MRS. LA CHELLE GARDNER WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
258 PINELLI DR, PISCATAWAY, NJ 08854-2262
(240) 441-1908
(732) 422-0133
Mailing address
258 PINELLI DR, PISCATAWAY, NJ 08854-2262
(240) 441-1908
(732) 422-0133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00476100
NJ
Other
Enumeration date
04/21/2010
Last updated
12/30/2013
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