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1306268974
LISA HAKES
JERICHO, NY
NPI
1306268974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 013665-1)
Enumeration Date
2014-01-15
Last Update Date
2014-01-15
Business Address
-- LISA HAKES
58 MAYTIME DR
JERICHO, NY 11753-2200
Phone number: 516-203-3640
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Mailing Address
-- LISA HAKES
61 BARRETTS AVE
HOLTSVILLE, NY 11742-2114
Phone number: 631-730-8921
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