Individual
JESSICA BOSSOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
875 RTE 202-206, BRIDGEWATER, NJ 08807-1861
(908) 477-3868
Mailing address
109 MAPLE PL, CRANFORD, NJ 07016-2335
(908) 477-3868
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS465800
NJ
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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