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1144708306
STEPHANIE LISA KENNEDY
STATEN ISLAND, NY
NPI
1144708306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
STEPHANIE LISA KENNEDY
3391 RICHMOND AVE
STATEN ISLAND, NY 10312-2025
Phone number: 718-608-9170
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Mailing Address
STEPHANIE LISA KENNEDY
218 SANDALWOOD DR
STATEN ISLAND, NY 10308-1850
Phone number: 718-619-7265
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