Individual
MS. DESIREE M. D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
13 STONEHENGE RD, MONTCLAIR, NJ 07043-2614
(862) 621-9390
Mailing address
13 STONEHENGE RD, MONTCLAIR, NJ 07043-2614
(862) 621-9390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00933700
NJ
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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