Organization
MJ KIDZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GRAHAM CCC-SLP (MANAGING MEMBER)
(609) 304-5101
Entity
Organization
Contact information
Practice address
1930 MARLTON PIKE E, SUITE A-1, CHERRY HILL, NJ 08003-2150
(856) 375-2914
(856) 433-8057
Mailing address
1930 MARLTON PIKE E, SUITE A-1, CHERRY HILL, NJ 08003-2150
(856) 375-2914
(856) 433-8057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00637200
NJ
Other
Enumeration date
02/17/2014
Last updated
03/17/2016
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