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Individual

DANA SHUKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
9 CORNWALLIS CT, MANALAPAN, NJ 07726-7918
(908) 433-9800
Mailing address
9 CORNWALLIS CT, MANALAPAN, NJ 07726-7918
(908) 433-9800

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
YS00313900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
YS00313900
SPEECH LANGUAGE PATHOLOGIST
NJ
Enumeration date
06/13/2022
Last updated
06/13/2022
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