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Individual

MRS. ALICIA JEROME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.CCC-SLP

Contact information

Practice address
254 BRICK BLVD, SUITE 10, BRICK, NJ 08723-7170
(732) 279-0600
Mailing address
35 BEAVERSON BLVD STE 11, BRICK, NJ 08723-7869
(866) 557-8669

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00609700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41YS00609700
NJ STATE LICENSE
NJ
Enumeration date
10/13/2012
Last updated
04/04/2024
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