Individual
KARYLLE VANESSA CID JOSE-SENERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP/L
Contact information
Practice address
PO BOX 583, RIVERSIDE, NJ 08075-7583
(559) 997-9404
Mailing address
PO BOX 583, RIVERSIDE, NJ 08075-7583
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00879500
NJ
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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