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1578006011
MARIAM POULAD
LONG ISLAND CITY, NY
NPI
1578006011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 011946-1)
Enumeration Date
2016-12-01
Last Update Date
2016-12-01
Business Address
-- MARIAM POULAD
2245 41ST ST
LONG ISLAND CITY, NY 11105-1710
Phone number: 718-278-1916
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Mailing Address
-- MARIAM POULAD
2245 41ST ST
LONG ISLAND CITY, NY 11105-1710
Phone number:
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