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1386785129
LORI DISTEFANO
MASSAPEQUA, NY
NPI
1386785129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 013610-1)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Mrs. LORI DISTEFANO SLP-CCC
15 OXFORD PL
MASSAPEQUA, NY 11758-5233
Phone number: 516-798-7508
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Mailing Address
Mrs. LORI DISTEFANO SLP-CCC
15 OXFORD PL
MASSAPEQUA, NY 11758-5233
Phone number: 516-798-7508
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