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Individual

MOLLY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP, BCBA

Contact information

Practice address
331 DORN AVE, MIDDLESEX, NJ 08846
(732) 339-3100
Mailing address
1497 SPRINGFIELD AVE, NEW PROVIDENCE, NJ 07974-1451
(302) 312-6688

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-22187
235Z00000X
Speech-Language Pathologist
Primary
41YS00551100
NJ

Other

Enumeration date
09/17/2013
Last updated
08/13/2018
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