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Individual

CAROLINE DUARTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
246 STADDEN RD STE 103, TANNERSVILLE, PA 18372-7944
(570) 620-4346
(570) 620-4342
Mailing address
134 BEEHLER RD, STROUDSBURG, PA 18360-7663
(570) 620-4346
(570) 620-4342

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
020645
NY
235Z00000X
Speech-Language Pathologist
Primary
SL013272
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1035895390002
PA
Enumeration date
05/16/2011
Last updated
03/11/2019
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