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1164738688
CHRISTINE IADEVIA
MASSAPEQUA, NY
NPI
1164738688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 006461-1)
Enumeration Date
2010-08-21
Last Update Date
2010-08-21
Business Address
Mrs. CHRISTINE IADEVIA M.A. CCC-SLP
79 RIVERSIDE AVE
MASSAPEQUA, NY 11758-5128
Phone number: 516-809-6143
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Mailing Address
Mrs. CHRISTINE IADEVIA M.A. CCC-SLP
79 RIVERSIDE AVE
MASSAPEQUA, NY 11758-5128
Phone number: 516-809-6143
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