Individual
MS. EDLY VICTORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1155 E JERSEY ST, ELIZABETH, NJ 07201-2310
(908) 352-9200
Mailing address
A40 WOODSIDE GDNS, ROSELLE PARK, NJ 07204-1007
(908) 590-0878
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00987200
NJ
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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