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1164703856
STACEY L JANTZEN
ALBANY, NY
NPI
1164703856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016999)
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
Mrs. STACEY L JANTZEN M.S. CCC-SLP
230 SCHOOLHOUSE RD
ALBANY, NY 12203-5957
Phone number: 518-250-4045
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Mailing Address
Mrs. STACEY L JANTZEN M.S. CCC-SLP
230 SCHOOLHOUSE RD
ALBANY, NY 12203-5957
Phone number: 518-250-4045
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