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1104952837
LISA KATHLEEN BERG-ANDERSON
EASTPORT, NY
NPI
1104952837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 007683-1)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mrs. LISA KATHLEEN BERG-ANDERSON M.S.
42 TUTTLE AVE
EASTPORT, NY 11941-1307
Phone number: 631-898-0261
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Mailing Address
Mrs. LISA KATHLEEN BERG-ANDERSON M.S.
42 TUTTLE AVE
EASTPORT, NY 11941-1307
Phone number: 631-898-0261
Copy
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