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1184991606
SHANA RAE COHEN-RUSSO
COMMACK, NY
NPI
1184991606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 008330-1)
Enumeration Date
2011-11-29
Last Update Date
2011-11-29
Business Address
Mrs. SHANA RAE COHEN-RUSSO M.A. CCC/SLP
6 TARA LN
COMMACK, NY 11725-2336
Phone number: 631-543-1799
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Mailing Address
Mrs. SHANA RAE COHEN-RUSSO M.A. CCC/SLP
6 TARA LN
COMMACK, NY 11725-2336
Phone number: 631-543-1799
Copy
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