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1851760680
KENIA PERALTA
NUTLEY, NJ
NPI
1851760680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00545900)
Enumeration Date
2015-09-22
Last Update Date
2015-09-22
Business Address
-- KENIA PERALTA CCC-SLP
242 WASHINGTON AVE LOWER LEVEL J
NUTLEY, NJ 07110-3934
Phone number: 973-563-8837
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Mailing Address
-- KENIA PERALTA CCC-SLP
5 HIGHFIELD LN
NUTLEY, NJ 07110-1928
Phone number: 973-542-8065
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