Individual
AGNES DOUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 COYKENDALL RD, WANTAGE, NJ 07461-3012
(973) 886-4252
Mailing address
70 COYKENDALL RD, WANTAGE, NJ 07461-3012
(973) 886-4252
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00227500
NJ
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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