Individual
MIRIAM DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
231 WOEHR AVE, LAKEWOOD, NJ 08701-3476
(732) 547-8500
Mailing address
231 WOEHR AVE, LAKEWOOD, NJ 08701-3476
(732) 547-8500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00363900
NJ
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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