Individual
SARA SLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 RED SCHOOL LN, PHILLIPSBURG, NJ 08865-2276
(908) 859-2800
Mailing address
290 RED SCHOOL LN, PHILLIPSBURG, NJ 08865-2276
(908) 859-2800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00629700
NJ
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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