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1467605022
LAURA R BACON
BEACON, NY
NPI
1467605022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 0164661)
Enumeration Date
2008-10-28
Last Update Date
2015-03-23
Business Address
Mrs. LAURA R BACON M.S., CCC-SLP
1 IRIS CIR
BEACON, NY 12508-3931
Phone number: 914-391-2094
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Mailing Address
Mrs. LAURA R BACON M.S., CCC-SLP
1 IRIS CIR
BEACON, NY 12508-3931
Phone number: 914-391-2094
Copy
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