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1043584808
TINA MICHELLE TAN
BROOKLYN, NY
NPI
1043584808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 010368)
Enumeration Date
2012-02-25
Last Update Date
2012-02-25
Business Address
Ms. TINA MICHELLE TAN M.S., CCC-SLP
4618 5TH AVE
BROOKLYN, NY 11220-1208
Phone number: 917-770-4799
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Mailing Address
Ms. TINA MICHELLE TAN M.S., CCC-SLP
4618 5TH AVE
BROOKLYN, NY 11220-1208
Phone number: 917-770-4799
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