Individual
ANNE MIRONCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
108 FITZER RD, FRENCHTOWN, NJ 08825-3901
(718) 306-2940
Mailing address
108 FITZER RD, FRENCHTOWN, NJ 08825-3901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76395-SP-SL
MA
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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