Individual
NICOLE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
2138 BRUNSWICK AVE, LAWRENCEVILLE, NJ 08648-4405
(609) 392-7510
Mailing address
2138 BRUNSWICK AVE, LAWRENCEVILLE, NJ 08648-4405
(609) 392-7510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00270100
NJ
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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