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1013525229
NICOLE M LEWIS
STATEN ISLAND, NY
NPI
1013525229
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Former Name
NICOLE MARIE KWOKA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2020-07-14
Last Update Date
2020-07-14
Business Address
NICOLE M LEWIS M.S., CF-SLP
309 ST PAULS AVE
STATEN ISLAND, NY 10304-2217
Phone number: 718-727-8202
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Mailing Address
NICOLE M LEWIS M.S., CF-SLP
115 EMMET AVE
STATEN ISLAND, NY 10306-3851
Phone number: 718-300-0655
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