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1639801475
LARISSA CANOVA
NUTLEY, NJ
NPI
1639801475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00525200)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
LARISSA CANOVA
45 HILLSIDE AVE
NUTLEY, NJ 07110-1615
Phone number: 201-787-6669
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Mailing Address
LARISSA CANOVA
45 HILLSIDE AVE
NUTLEY, NJ 07110-1615
Phone number: 201-787-6669
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