LEIBA WYDRA

LAKEWOOD, NJ
NPI1740645449
Professional NameLEIBA HIRTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NJ  41ys00828500)
Enumeration Date2015-12-22
Last Update Date2015-12-22
Business Address
-- LEIBA WYDRA
28 ROOSEVELT AVE
LAKEWOOD, NJ 08701-5654
Phone number: 732-364-4993
Mailing Address
-- LEIBA WYDRA
28 ROOSEVELT AVE
LAKEWOOD, NJ 08701-5654
Phone number: 732-364-4993
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