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Organization

SPEECH MADE EASY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISSETTE BONILLA MS CCC-SLP (PRESIDENT)
(917) 992-7095
Entity
Organization

Contact information

Practice address
115 DOGWOOD WAY, HACKETTSTOWN, NJ 07840-4849
(917) 992-7095
Mailing address
115 DOGWOOD WAY, HACKETTSTOWN, NJ 07840-4849

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018890-1
NY

Other

Enumeration date
11/29/2012
Last updated
11/29/2012
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