Individual
MRS. FRADEL SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 MADISON AVE, APT. A16, LAKEWOOD, NJ 08701-2646
(732) 370-7979
Mailing address
801 MADISON AVE, APT. A16, LAKEWOOD, NJ 08701-2646
(732) 370-7979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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