Individual
JACLYN BORRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
26 PLYMOUTH AVE, MAPLEWOOD, NJ 07040-2335
(201) 407-7256
Mailing address
26 PLYMOUTH AVE, MAPLEWOOD, NJ 07040-2335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12105688
NJ
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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