SANDRA BLAKE

STATEN ISLAND, NY
NPI1093121345
Former NameSANDRA MARIE DEVITO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2014-07-08
Last Update Date2016-12-02
Business Address
-- SANDRA BLAKE SLP-CCC
36 CORNELL ST
STATEN ISLAND, NY 10302-2009
Phone number: 646-733-7560
Mailing Address
-- SANDRA BLAKE SLP-CCC
36 CORNELL ST
STATEN ISLAND, NY 10302-2009
Phone number: 646-733-7560
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