GENESIS ASHLEE MYSTIQUE MCLAREN

PLAINVIEW, NY
NPI1215744966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
Enumeration Date2024-12-16
Last Update Date2024-12-16
Business Address
GENESIS ASHLEE MYSTIQUE MCLAREN
255 EXECUTIVE DR STE LL108
PLAINVIEW, NY 11803-1707
Phone number: 516-576-2040
Mailing Address
GENESIS ASHLEE MYSTIQUE MCLAREN
1536 WESTERVELT AVE
NORTH BALDWIN, NY 11510-1648
Phone number: 516-435-0078