Individual
LEA DZIUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FOREST CT, MORRIS PLAINS, NJ 07950-2514
(973) 722-9693
Mailing address
23 CONCORD ST, CLIFTON, NJ 07013-1224
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS0093600
NJ
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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