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Individual

AVIVA CZERMAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
930 E COUNTY LINE RD STE 4, LAKEWOOD, NJ 08701-2031
(732) 276-6465
(732) 719-6892
Mailing address
24 CUSHMAN ST, LAKEWOOD, NJ 08701-5201
(732) 276-6465
(732) 719-6892

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00772000
NJ

Other

Enumeration date
05/22/2014
Last updated
05/22/2014
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