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Individual

LARISSA DE ARAUJO FORTUNATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
99 KINDERKAMACK RD STE 308, WESTWOOD, NJ 07675-3021
(201) 300-7360
Mailing address
100 SAND RD APT B, WESTWOOD, NJ 07675-2413
(973) 666-0250

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01265300
NJ

Other

Enumeration date
08/17/2023
Last updated
05/13/2024
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