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1285887729
LORI JEAN THEODOSIOU
MASSAPEQUA, NY
NPI
1285887729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 008804-1)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
-- LORI JEAN THEODOSIOU SLP
156 E SHORE DR
MASSAPEQUA, NY 11758-7617
Phone number: 516-795-2850
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Mailing Address
-- LORI JEAN THEODOSIOU SLP
156 E SHORE DR
MASSAPEQUA, NY 11758-7617
Phone number: 516-795-2850
Copy
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