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1184942948
LIA FAYE PANKAKE
WATERBURY, CT
NPI
1184942948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 003667)
Enumeration Date
2010-05-04
Last Update Date
2010-05-04
Business Address
Mrs. LIA FAYE PANKAKE
22 TOMPKINS ST
WATERBURY, CT 06708-1458
Phone number: 203-419-0381
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Mailing Address
Mrs. LIA FAYE PANKAKE
22 TOMPKINS ST
WATERBURY, CT 06708-1458
Phone number: 203-419-0381
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