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Individual

ADAM JACOB NARODEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 JANUARY AVE, FERGUSON, MO 63135-1807
(908) 442-3572
Mailing address
7229 BALSON AVE, UNIVERSITY CITY, MO 63130-3002
(908) 442-3572

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01706412
NJ
235Z00000X
Speech-Language Pathologist
Primary
2023034859
MO
235Z00000X
Speech-Language Pathologist
SL016666
PA

Other

Enumeration date
08/29/2023
Last updated
08/29/2023
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