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1538412457
JESSICA LANG
WANTAGH, NY
NPI
1538412457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 011400-1)
Enumeration Date
2012-10-16
Last Update Date
2014-10-07
Business Address
-- JESSICA LANG
2377 WOODLAND AVE
WANTAGH, NY 11793-4419
Phone number: 516-857-5038
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Mailing Address
-- JESSICA LANG
2377 WOODLAND AVE
WANTAGH, NY 11793-4419
Phone number:
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