Individual
CHELSEA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
187 KAKEOUT RD, KINNELON, NJ 07405-2538
(973) 270-4487
Mailing address
187 KAKEOUT RD, KINNELON, NJ 07405-2538
(973) 270-4487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01178200
NJ
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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