Individual
BRIANNA N GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
671 NJ-35, MIDDLETOWN TOWNSHIP, NJ 07748
(732) 333-1355
Mailing address
107 G ST, BRICK, NJ 08723-7218
(848) 210-6411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-4333
NJ
Other
Enumeration date
12/14/2023
Last updated
03/05/2024
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