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1518307792
ALEXIS FAWN LAZARUS
COMMACK, NY
NPI
1518307792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 024009)
Enumeration Date
2013-07-02
Last Update Date
2015-06-15
Business Address
-- ALEXIS FAWN LAZARUS M.A., CCC-SLP
4 CHEROKEE LN
COMMACK, NY 11725-4604
Phone number: 631-241-1284
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Mailing Address
-- ALEXIS FAWN LAZARUS M.A., CCC-SLP
4 CHEROKEE LN
COMMACK, NY 11725-4604
Phone number: 631-241-1284
Copy
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