Individual
JILLIAN M VANBRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CF-SLP
Contact information
Practice address
734 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1523
(732) 212-1910
Mailing address
428 WELLS AVE, OAKHURST, NJ 07755-1465
(732) 546-7896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-3046
NJ
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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