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1588932537
JADE ALEXA ADDONISIO
EASTPORT, NY
NPI
1588932537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 2365508)
Enumeration Date
2011-12-06
Last Update Date
2013-08-22
Business Address
Mrs. JADE ALEXA ADDONISIO M. S. CCC-SLP
8 RAFFAELLA DR
EASTPORT, NY 11941-1446
Phone number: 631-433-7788
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Mailing Address
Mrs. JADE ALEXA ADDONISIO M. S. CCC-SLP
8 RAFFAELLA DR
EASTPORT, NY 11941-1446
Phone number: 631-433-7788
Copy
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