Individual
LAUREN NICOLE ILG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
918 SOUTH AVENUE, WESTFIELD, NJ 07016
(201) 650-0903
Mailing address
103 DENMAN ROAD, CRANFORD, NJ 07016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00583600
NJ
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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