Individual
JESSICA INTROMASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 S RIDGEDALE AVE, EAST HANOVER, NJ 07936-3142
(973) 885-4450
Mailing address
12 RIDGEDALE AVE APT 203, MORRISTOWN, NJ 07960-4369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00939400
NJ
Other
Enumeration date
08/03/2020
Last updated
08/06/2020
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