Individual
DENISE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 BRICK ROAD, MARLTON, NJ 08053
(856) 988-4195
Mailing address
92 BRICK ROAD, MARLTON, NJ 08053
(856) 988-4195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS003955700
NJ
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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