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Individual

MS. ASHLEY AMANDA LEESHOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
208 HARRISTOWN RD, GLEN ROCK, NJ 07452-3308
(201) 297-9167
Mailing address
78 AVONDALE AVE, CLIFTON, NJ 07013-3202
(973) 248-7505

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00928600
NJ
235Z00000X
Speech-Language Pathologist
NJ

Other

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