Individual
DARYA LAVRENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S EUCLID AVE, WESTFIELD, NJ 07090-2129
(908) 232-2903
(910) 823-2358
Mailing address
121 S EUCLID AVE, WESTFIELD, NJ 07090-2129
(908) 232-2903
(910) 823-2358
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00808300
NJ
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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