JACQUELINE JESSICA SOARES

STATEN ISLAND, NY
NPI1508306390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  024224)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: NJ  41YS00788300)
Enumeration Date2017-02-28
Last Update Date2022-01-11
Business Address
JACQUELINE JESSICA SOARES
51 CYPRESS LOOP
STATEN ISLAND, NY 10309-1676
Phone number: 646-842-0270
Mailing Address
JACQUELINE JESSICA SOARES
51 CYPRESS LOOP
STATEN ISLAND, NY 10309-1676
Phone number: 646-842-0270