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1205972122
STACEY L BLUMBERG
MELVILLE, NY
NPI
1205972122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 010885-1)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Mrs. STACEY L BLUMBERG M.S. CCC-SLP
109 BREELEY BLVD
MELVILLE, NY 11747-5332
Phone number: 516-637-7648
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Mailing Address
Mrs. STACEY L BLUMBERG M.S. CCC-SLP
109 BREELEY BLVD
MELVILLE, NY 11747-5332
Phone number: 516-637-7648
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