Individual
LEA MCQUISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1934 BURLINGTON-MOUNT HOLLY RD, WESTAMPTON, NJ 08060
(609) 261-4330
Mailing address
717 S 12TH ST APT 2, PHILADELPHIA, PA 19147-1803
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00838900
NJ
Other
Enumeration date
09/26/2017
Last updated
01/25/2021
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