Individual
DANIELLE KUDLACIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 MAGNOLIA LN, LAFAYETTE HILL, PA 19444-2341
(518) 429-8404
Mailing address
2113 MAGNOLIA LN, LAFAYETTE HILL, PA 19444-2341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010546
PA
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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