Individual
MRS. MIMI JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 62ND ST, WEST NEW YORK, NJ 07093-4004
(347) 525-7123
Mailing address
40 62ND ST, WEST NEW YORK, NJ 07093-4004
(347) 525-7123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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