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1134611031
GRACE KWAK
FLUSHING, NY
NPI
1134611031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 0185791)
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
GRACE KWAK
3048 LINDEN PL
FLUSHING, NY 11354-1928
Phone number: 718-281-7542
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Mailing Address
GRACE KWAK
3048 LINDEN PL
FLUSHING, NY 11354-1928
Phone number:
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