RAICINE MIA TERRY

FRESH MEADOWS, NY
NPI1013349737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  2575177)
Enumeration Date2013-08-05
Last Update Date2015-02-09
Business Address
-- RAICINE MIA TERRY
15813 72ND AVE
FRESH MEADOWS, NY 11365-1140
Phone number: 718-380-7600
Mailing Address
-- RAICINE MIA TERRY
15813 72ND AVE
FRESH MEADOWS, NY 11365-1140
Phone number: 718-380-7600
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