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1114561081
MICHELLE STACEY COOPER
WHITESTONE, NY
NPI
1114561081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 026494-01)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
MICHELLE STACEY COOPER
15050 14TH RD
WHITESTONE, NY 11357-2609
Phone number: 718-767-0071
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Mailing Address
MICHELLE STACEY COOPER
7 HILLDALE LN
PORT WASHINGTON, NY 11050-1208
Phone number: 305-494-8150
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