Individual
NICOLE LAUREN TAGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 CORNWALL DR, EAST BRUNSWICK, NJ 08816-3332
(732) 210-7241
Mailing address
21 BROOKDALE RD, EAST BRUNSWICK, NJ 08816-4221
(848) 391-0766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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