Individual
MRS. DENISE M SHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3002 LINCOLN DR W, SUITE E, MARLTON, NJ 08053-1527
(856) 810-7599
(856) 810-7662
Mailing address
3002 LINCOLN DR W, SUITE E, MARLTON, NJ 08053-1527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00446700
NJ
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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