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1003198219
LAUREN STACY MADOFF
COMMACK, NY
NPI
1003198219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 021327-1)
Enumeration Date
2011-09-13
Last Update Date
2011-09-13
Business Address
-- LAUREN STACY MADOFF M.A.
23 MOHEGAN LN
COMMACK, NY 11725-4214
Phone number: 631-974-0050
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Mailing Address
-- LAUREN STACY MADOFF M.A.
23 MOHEGAN LN
COMMACK, NY 11725-4214
Phone number: 631-974-0050
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