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1437460110
JENNIFER DIANE CACCAVO
STATEN ISLAND, NY
NPI
1437460110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NY 010990-1)
Enumeration Date
2010-06-28
Last Update Date
2010-06-28
Business Address
MRS. JENNIFER DIANE CACCAVO M.S. C.C.C./SLP
905 ANNADALE RD
STATEN ISLAND, NY 10312-4010
Phone number: 718-984-5826
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Mailing Address
MRS. JENNIFER DIANE CACCAVO M.S. C.C.C./SLP
1650 CARLTON AVE
STATEN ISLAND, NY 10309-2402
Phone number: 718-227-5337
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