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1205975331
MINDY THERESA PODESTA
BAY SHORE, NY
NPI
1205975331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 002264)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Mrs. MINDY THERESA PODESTA CCCSLP
21 SEAFIELD LN
BAY SHORE, NY 11706-7814
Phone number: 631-666-6138
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Mailing Address
Mrs. MINDY THERESA PODESTA CCCSLP
21 SEAFIELD LN
BAY SHORE, NY 11706-7814
Phone number: 631-666-6138
Copy
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