Individual
CHASITY NICOLE COWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 WOODHAVEN WAY, SICKLERVILLE, NJ 08081-9243
(856) 297-8131
Mailing address
41 WOODHAVEN WAY, SICKLERVILLE, NJ 08081-9243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R58595484
HORIZON BLUE CROSS BLUE SHIELD
NJ
Enumeration date
09/20/2022
Last updated
09/20/2022
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