Individual
LAUREN KRISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 WASHINGTON AVE, RUTHERFORD, NJ 07070-1509
(201) 410-5503
Mailing address
108 WASHINGTON AVE, RUTHERFORD, NJ 07070-1509
(201) 410-5503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
08/10/2017
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