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Individual

MRS. CORINNE PRIMAVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
254B MOUNTAIN AVE STE 100, HACKETTSTOWN, NJ 07840-2413
(908) 852-6400
(908) 852-6450
Mailing address
LB# 7550, P.O. BOX 95000, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00873200
NJ

Other

Enumeration date
05/11/2017
Last updated
09/22/2021
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