Individual
BROOKE E KNUTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-1900
(856) 562-5892
Mailing address
41 PHEASANT MEADOW DR, GALLOWAY, NJ 08205-3127
(201) 577-1269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01004900
NJ
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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