Individual
SOPHIA RAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
159 LAKE DR, BROOKLAWN, NJ 08030-2664
(609) 816-2315
Mailing address
159 LAKE DR, BROOKLAWN, NJ 08030-2664
(609) 816-2315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016600
PA
Other
Enumeration date
10/15/2024
Last updated
10/16/2024
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