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1548566649
HEATHER WITHALL
FAIRPORT, NY
NPI
1548566649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 012086-1)
Enumeration Date
2011-02-07
Last Update Date
2011-02-07
Business Address
Mrs. HEATHER WITHALL CCC-SLP
149 N MAIN ST
FAIRPORT, NY 14450-1434
Phone number: 585-377-2230
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Mailing Address
Mrs. HEATHER WITHALL CCC-SLP
14 SNOWBERRY CIR
PENFIELD, NY 14526-1110
Phone number: 585-248-4968
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