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1174863765
DEBRA ELAINE MOORE
EAST SETAUKET, NY
NPI
1174863765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NY 00959650)
Enumeration Date
2013-02-19
Last Update Date
2013-02-25
Business Address
MRS. DEBRA ELAINE MOORE MACCC/SLP
17 MILLS LN
EAST SETAUKET, NY 11733-3805
Phone number: 631-751-3838
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Mailing Address
MRS. DEBRA ELAINE MOORE MACCC/SLP
207 HALLOCK RD
STONY BROOK, NY 11790-3033
Phone number: 631-751-3838
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