Individual
MS. MALI DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
156 HAVERHILL AVE, WOODLAND PARK, NJ 07424
(973) 477-1971
Mailing address
156 HAVERHILL AVE, WOODLAND PARK, NJ 07424
(973) 477-1971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00633500
NJ
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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