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Organization

INNOVATION SPEECH AND LANGUAGE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNA FARRO M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(732) 822-5140
Entity
Organization

Contact information

Practice address
7 FOREST ST, WEST LONG BRANCH, NJ 07764-1515
(732) 822-5140
Mailing address
7 FOREST ST, WEST LONG BRANCH, NJ 07764-1515
(732) 822-5140

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00412000
NJ

Other

Enumeration date
07/10/2012
Last updated
07/10/2012
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