Individual
SARA KOGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2 STACY CT, JACKSON, NJ 08527-2912
(732) 664-8874
Mailing address
81 WHISPERING PINES LN, LAKEWOOD, NJ 08701-1459
(845) 538-3821
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-2954
NJ
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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