Individual
JACLYN ALEXA KUKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 SUMMIT AVE, SUMMIT, NJ 07901-2813
(908) 991-6423
Mailing address
30 ROBIN RD, WARREN, NJ 07059-5054
(908) 344-8072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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