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1225262439
MILDRED POTTHEISER
STATEN ISLAND, NY
NPI
1225262439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 009157-1)
Enumeration Date
2009-05-04
Last Update Date
2009-05-04
Business Address
Ms. MILDRED POTTHEISER M.A.C.C.C.-SLP
234 MCBAINE AVE
STATEN ISLAND, NY 10309-1611
Phone number: 917-270-1140
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Mailing Address
Ms. MILDRED POTTHEISER M.A.C.C.C.-SLP
234 MCBAINE AVENUE
STATEN ISLAND, NY 10309
Phone number: 917-270-1140
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