Individual
MARIAH BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 ROUTE 31 SOUTH, WASHINGTON, NJ 07882
(908) 847-6756
Mailing address
315 ROUTE 31 S, WASHINGTON, NJ 07882
(908) 847-3200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01184800
NJ
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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