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1427196831
MICHELLE PETRACO
HAUPPAUGE, NY
NPI
1427196831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 0157361)
Enumeration Date
2007-02-01
Last Update Date
2011-10-26
Business Address
Mrs. MICHELLE PETRACO M.S.,CCCSLP
600 TOWNLINE RD
HAUPPAUGE, NY 11788-2837
Phone number: 631-761-8230
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Mailing Address
Mrs. MICHELLE PETRACO M.S.,CCCSLP
110 WASHINGTON PL
MASSAPEQUA, NY 11758-6323
Phone number: 516-209-8554
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