Individual
MARIA LUCIA BONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
299 CHERRY HILL RD, PARSIPPANY, NJ 07054-1111
(833) 587-1784
Mailing address
299 CHERRY HILL RD STE 108, PARSIPPANY, NJ 07054-1124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01145100
NJ
Other
Enumeration date
07/05/2023
Last updated
07/12/2023
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