Individual
ESTHER MITNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
886 RIVER AVE, LAKEWOOD, NJ 08701-5282
(732) 994-0350
Mailing address
423 7TH ST, LAKEWOOD, NJ 08701-2729
(732) 367-7304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00839300
NJ
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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