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Individual

MARTINA JANET VILLARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
100 GLENROCK RD, EGG HARBOR TOWNSHIP, NJ 08234-6624
(609) 601-1559
Mailing address
100 GLENROCK RD, EGG HARBOR TOWNSHIP, NJ 08234-6624
(609) 601-1559

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00504600
NJ

Other

Enumeration date
11/26/2011
Last updated
11/26/2011
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