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1194965962
LATASHA RENEE GALLOWAY
JAMAICA, NY
NPI
1194965962
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Former Name
LATASHA RENEE GALLOWAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016841-1)
Enumeration Date
2009-03-05
Last Update Date
2009-03-05
Business Address
Ms. LATASHA RENEE GALLOWAY SLP
11536 149TH ST
JAMAICA, NY 11436-1122
Phone number: 718-529-4696
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Mailing Address
Ms. LATASHA RENEE GALLOWAY SLP
11536 149TH ST
JAMAICA, NY 11436-1122
Phone number: 718-529-4696
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