Individual
KIMBERLY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 WILSON DR, SPARTA, NJ 07871-3400
(973) 579-1071
Mailing address
8 KEARNY DR, WANTAGE, NJ 07461-3927
(862) 266-7116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00941800
NJ
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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