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Individual

MRS. JAMIE TUAZON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
1328 N 31ST ST, PHILADELPHIA, PA 19121-4425
(732) 740-6223
Mailing address
25 SIOUX ST, OLD BRIDGE, NJ 08857-1841
(732) 740-6223

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012825
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/03/2015
Last updated
04/26/2018
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