Individual
MISS JENNIFER RUTH PACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
72 CRESTMONT DR, MANTUA, NJ 08051-2162
(856) 803-7152
Mailing address
72 CRESTMONT DR, MANTUA, NJ 08051-2162
(856) 803-7152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01125000
NJ
Other
Enumeration date
09/30/2022
Last updated
10/05/2022
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