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Individual

PATRICIA ROSE CALVOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
20 BUCKNELL DR, HAZLET, NJ 07730-2304
(646) 284-6081
Mailing address
20 BUCKNELL DRIVE, HAZLET, NJ 07730
(646) 284-6081

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025032
NY
235Z00000X
Speech-Language Pathologist
41YS00820300
NJ

Other

Enumeration date
01/11/2017
Last updated
01/11/2017
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