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1467998211
KELLEY SCHUPAK
FAIR LAWN, NJ
NPI
1467998211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00853700)
Enumeration Date
2017-01-17
Last Update Date
2017-01-17
Business Address
-- KELLEY SCHUPAK
5-11 SADDLE RIVER RD
FAIR LAWN, NJ 07410-5635
Phone number: 201-509-8205
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Mailing Address
-- KELLEY SCHUPAK
914 GRANDVIEW AVE
WESTFIELD, NJ 07090-1629
Phone number: 908-577-1190
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