Individual
COURTNEY LAURYN VIGNOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 LARCH AVE, BOGOTA, NJ 07603-1504
(201) 655-8819
Mailing address
103 LARCH AVE, BOGOTA, NJ 07603-1504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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