KATHLEEN MARY STACK

RIDGEWOOD, NY
NPI1013148915
Former NameKATHLEEN MARY MAGUIRE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  019277-1)
Enumeration Date2009-07-27
Last Update Date2018-08-21
Business Address
KATHLEEN MARY STACK
1666 HANCOCK ST
RIDGEWOOD, NY 11385
Phone number: 718-456-7588
Mailing Address
KATHLEEN MARY STACK
135 BEACH 92ND ST
ROCKAWAY BEACH, NY 11693-1509
Phone number: 178-547-1039
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