Individual
LAUREN FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 CHURCH RD APT 8P, MAPLE SHADE, NJ 08052-3104
(848) 220-4976
Mailing address
20 CHURCH RD APT 8P, MAPLE SHADE, NJ 08052-3104
(848) 220-4976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01194500
NJ
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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