Individual
JILL WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 BALTUSROL AVE, SPRINGFIELD, NJ 07081-1002
(201) 638-5435
Mailing address
224 BALTUSROL AVE, SPRINGFIELD, NJ 07081-1002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00633600
NJ
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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