JENNIFER S PROVDA

CHERRY HILL, NJ
NPI1740502749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NJ  41YS00596700)
Enumeration Date2010-02-18
Last Update Date2010-02-18
Business Address
Mrs. JENNIFER S PROVDA
49 WAGON LN
CHERRY HILL, NJ 08002-1561
Phone number: 856-482-9543
Mailing Address
Mrs. JENNIFER S PROVDA
49 WAGON LN
CHERRY HILL, NJ 08002-1561
Phone number:
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