Jaclyn Alexa Kukoff
NPI #1952991903 in Summit, New Jersey
Provider Information
- NPI Number
- 1952991903
- Entity Type
- Individual
- Name
- Jaclyn Alexa Kukoff
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 24, 2021
- Last Updated
- Jan 24, 2021
Practice Location
- Address
- 151 SUMMIT AVE
- City
- Summit
- State
- New Jersey
- ZIP Code
- 07901-2813
- Phone
- (908) 991-6423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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