Individual
MRS. CHRISTINE CONDURSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
170 STATESIR PL, RED BANK, NJ 07701-6108
(917) 587-4485
Mailing address
170 STATESIR PL, RED BANK, NJ 07701-6108
(917) 587-4485
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014206-1
NY
235Z00000X
Speech-Language Pathologist
41YS00685700
NJ
Other
Enumeration date
11/21/2008
Last updated
05/03/2013
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