EILEEN ANNE FASANELLA

MONTCLAIR, NJ
NPI1194303073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NJ  41YS00206300)
Enumeration Date2021-03-31
Last Update Date2021-03-31
Business Address
EILEEN ANNE FASANELLA
2 WOODMONT RD
MONTCLAIR, NJ 07043-2500
Phone number: 973-818-2164
Mailing Address
EILEEN ANNE FASANELLA
2 WOODMONT RD
MONTCLAIR, NJ 07043-2500
Phone number: 973-818-2164
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