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1619021847
LAURIE JEAN WENNERHOLM
WHITE PLAINS, NY
NPI
1619021847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 011025-1)
Enumeration Date
2007-01-23
Last Update Date
2019-03-21
Business Address
Mrs. LAURIE JEAN WENNERHOLM MA, CCC-SLP, BRS-S
2 LONGVIEW AVE FL 6
WHITE PLAINS, NY 10601-5000
Phone number: 914-849-7586
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Mailing Address
Mrs. LAURIE JEAN WENNERHOLM MA, CCC-SLP, BRS-S
3613 212TH ST
BAYSIDE, NY 11361-2048
Phone number: 718-352-0429
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