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1972934032
CHAYA WYDRA
LAKEWOOD, NJ
NPI
1972934032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00683500)
Enumeration Date
2013-11-27
Last Update Date
2013-11-27
Business Address
-- CHAYA WYDRA
809 RIVER AVE STE 4
LAKEWOOD, NJ 08701-5286
Phone number: 732-534-6707
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Mailing Address
-- CHAYA WYDRA
36 HIGH ST
LAKEWOOD, NJ 08701-5223
Phone number: 732-804-6011
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