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1376825349
LINDA MARIE FASULLO
EAST SETAUKET, NY
NPI
1376825349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 007103)
Enumeration Date
2011-09-15
Last Update Date
2011-09-15
Business Address
Mrs. LINDA MARIE FASULLO M.S. CCC/SLP
5 STURROCK WAY
EAST SETAUKET, NY 11733-1046
Phone number: 631-941-0103
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Mailing Address
Mrs. LINDA MARIE FASULLO M.S. CCC/SLP
5 STURROCK WAY
EAST SETAUKET, NY 11733-1046
Phone number: 631-941-0103
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