Individual
ANNETTE SOUROUJON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
611 W 232ND ST, BRONX, NY 10463-3303
(929) 271-0007
Mailing address
611 W 232ND ST, BRONX, NY 10463-3303
(929) 271-0007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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