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1528581188
SHAMAKI LASHA MACK
PLYMOUTH MEETING, PA
NPI
1528581188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00869000)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
Mrs. SHAMAKI LASHA MACK CCC-SLP
2250 HICKORY RD STE 240
PLYMOUTH MEETING, PA 19462-2225
Phone number: 800-879-4471
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Mailing Address
Mrs. SHAMAKI LASHA MACK CCC-SLP
3037 DIAMOND DR
VINELAND, NJ 08361-7516
Phone number: 856-691-7016
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