Individual
KIM WRIGHT BORLONGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10 PHOENIX CT, JACKSON, NJ 08527-1384
(732) 367-3287
Mailing address
10 PHOENIX CT, JACKSON, NJ 08527-1384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00292300
NJ
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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