Individual
GABRIELLA KOVTUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1512 PALISADE AVE APT 18C, FORT LEE, NJ 07024-5317
(732) 910-4057
Mailing address
1512 PALISADE AVE APT 18C, FORT LEE, NJ 07024-5317
(732) 910-4057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NJ
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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