Individual
JACLYN MARANGELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 CHURCH RD, MOUNT LAUREL, NJ 08054-1108
(800) 774-5516
(856) 429-4755
Mailing address
1255 CALDWELL RD, CHERRY HILL, NJ 08034-3220
(800) 774-5516
(856) 429-4755
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00812700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00812700
CERT
NJ
Enumeration date
09/29/2016
Last updated
09/29/2016
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