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1164838405
DANIELLE LAKE
NEW YORK, NY
NPI
1164838405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 023317-1)
Enumeration Date
2014-07-08
Last Update Date
2019-12-29
Business Address
DANIELLE LAKE
511 W 182ND ST
NEW YORK, NY 10033-5107
Phone number: 212-781-0524
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Mailing Address
DANIELLE LAKE
511 W 182ND ST
NEW YORK, NY 10033-5107
Phone number:
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