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1013270081
AMANDA BROOKE RUSSELL SCHMIDT
KINGS PARK, NY
NPI
1013270081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 019074-1)
Enumeration Date
2012-06-24
Last Update Date
2012-06-24
Business Address
-- AMANDA BROOKE RUSSELL SCHMIDT M.A. CCC-SLP
1 NORMA LN
KINGS PARK, NY 11754-4520
Phone number: 631-292-2658
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Mailing Address
-- AMANDA BROOKE RUSSELL SCHMIDT M.A. CCC-SLP
1 NORMA LN
KINGS PARK, NY 11754-4520
Phone number: 631-292-2658
Copy
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