JILLIAN MARIE FONSECA

NEW YORK, NY
NPI1508415472
Former NameJILLIAN MARIE THELEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  028995)
Enumeration Date2019-09-04
Last Update Date2020-05-08
Business Address
Miss JILLIAN MARIE FONSECA M.S. CCC-SLP
227 EAST 41ST STREET 8TH FLOOR
NEW YORK, NY 10017-1001
Phone number: 212-273-6100
Mailing Address
Miss JILLIAN MARIE FONSECA M.S. CCC-SLP
18 CRESTWOOD LN
CLARK, NJ 07066-2640
Phone number:
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