Individual
MARY FARALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
24 UPTON WAY, SEWELL, NJ 08080
(856) 404-1693
Mailing address
24 UPTON WAY, SEWELL, NJ 08080-3638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
PA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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