Individual
NICOLE STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 HIGHWAY 37 W, TOMS RIVER, NJ 08755-6423
(732) 557-8046
Mailing address
502 ASHWOOD PL, LANOKA HARBOR, NJ 08734-2805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00882900
NJ
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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