Individual
JESSICA COSTENIUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 BARBARA RD, DUMONT, NJ 07628-1411
(201) 282-1398
Mailing address
107 BARBARA RD, DUMONT, NJ 07628-1411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00950200
NJ
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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