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1114172392
DAWN S BRODERICK
SYRACUSE, NY
NPI
1114172392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 009114-1)
Enumeration Date
2008-12-01
Last Update Date
2008-12-01
Business Address
-- DAWN S BRODERICK
171 INTREPID LN
SYRACUSE, NY 13205-2548
Phone number: 315-437-4689
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Mailing Address
-- DAWN S BRODERICK
7255 LEAFCREST LN
EAST SYRACUSE, NY 13057-3215
Phone number: 315-430-7505
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