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1275305898
DOMINIQUE ACACIA
FREEPORT, NY
NPI
1275305898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2023-10-26
Last Update Date
2023-12-21
Business Address
DOMINIQUE ACACIA
88 S BERGEN PL APT D4
FREEPORT, NY 11520-3549
Phone number: 718-614-1014
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Mailing Address
DOMINIQUE ACACIA
88 S BERGEN PL APT D4
FREEPORT, NY 11520-3549
Phone number: 718-614-1014
Copy
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