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1063784775
DEBBIE MARIE KENNISTON
BALLSTON LAKE, NY
NPI
1063784775
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Former Name
DEBBIE MARIE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 006136-1)
Enumeration Date
2012-01-27
Last Update Date
2012-01-27
Business Address
Mrs. DEBBIE MARIE KENNISTON
100 CHANGO DR
BALLSTON LAKE, NY 12019-9207
Phone number: 518-881-0520
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Mailing Address
Mrs. DEBBIE MARIE KENNISTON
100 CHANGO DR
BALLSTON LAKE, NY 12019-9207
Phone number: 518-881-0520
Copy
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