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Individual

ELIZABETH IJALBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC

Contact information

Practice address
64 HAZELWOOD AVE, LIVINGSTON, NJ 07039-3841
(973) 580-7394
Mailing address
64 HAZELWOOD AVE, LIVINGSTON, NJ 07039-3841
(973) 580-7394

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007767-1
NY

Other

Enumeration date
10/25/2010
Last updated
10/25/2010
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