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Individual

MRS. RIVKA GUGENHEIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CF

Contact information

Practice address
1074 TIMES SQUARE BLVD, LAKEWOOD, NJ 08701-5524
(732) 595-2641
Mailing address
325 7TH ST UNIT 219, LAKEWOOD, NJ 08701-3771
(848) 223-3363

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-3768
NJ

Other

Enumeration date
06/05/2023
Last updated
06/05/2023
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