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1013210954
MICHELLE AUDREY HUMANN
BAYSIDE, NY
NPI
1013210954
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Former Name
MICHELLE AUDREY MIRRO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 020670)
Enumeration Date
2010-12-15
Last Update Date
2016-12-07
Business Address
-- MICHELLE AUDREY HUMANN
3224 CORPORAL KENNEDY ST
BAYSIDE, NY 11361-1061
Phone number: 718-229-7600
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Mailing Address
-- MICHELLE AUDREY HUMANN
3224 CORPORAL KENNEDY ST
BAYSIDE, NY 11361-1061
Phone number: 718-229-7600
Copy
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