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1326560772
CARLY ANN LICAMELI
NUTLEY, NJ
NPI
1326560772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 14094243)
Enumeration Date
2017-07-07
Last Update Date
2022-07-21
Business Address
CARLY ANN LICAMELI M.A., CCC-SLP
108 CONOVER AVE
NUTLEY, NJ 07110-3398
Phone number: 973-204-8045
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Mailing Address
CARLY ANN LICAMELI M.A., CCC-SLP
108 CONOVER AVE
NUTLEY, NJ 07110-3398
Phone number: 973-204-8045
Copy
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