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1255073086
JEANNE MARIE SQUILLANTE
PORT JEFFERSON STATION, NY
NPI
1255073086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 031595)
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
JEANNE MARIE SQUILLANTE MS-CCC-SLP; TSSLD
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776-1217
Phone number: 631-509-4115
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Mailing Address
JEANNE MARIE SQUILLANTE MS-CCC-SLP; TSSLD
101 BEVERLY AVE
MASSAPEQUA PARK, NY 11762-3621
Phone number: 516-761-4283
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