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1073035572
DIANE MCDONOUGH
OAKLAND, NJ
NPI
1073035572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NJ 41YS00034900)
Enumeration Date
2017-07-17
Last Update Date
2017-07-17
Business Address
DIANE MCDONOUGH
91 W SHEFFIELD ST
OAKLAND, NJ 07436-2629
Phone number: 201-965-4188
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Mailing Address
DIANE MCDONOUGH
91 W SHEFFIELD ST
OAKLAND, NJ 07436-2629
Phone number: 201-965-4188
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