Individual
KEIRA RAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 LACEY RD STE 4, FORKED RIVER, NJ 08731-2244
(609) 200-1118
Mailing address
620 LACEY RD STE 4, FORKED RIVER, NJ 08731-2244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-4797
NJ
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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