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Individual

MRS. KIMBERLY MCDONOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
12 WOODLAND AVE UNIT 22, WEST ORANGE, NJ 07052-3660
(973) 731-8588
Mailing address
106 BALL RD, MOUNTAIN LAKES, NJ 07046-1625
(973) 896-3728

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
925837
NJ

Other

Enumeration date
07/06/2022
Last updated
07/06/2022
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