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1659703239
KIM LOUISE ENOKSEN
MASSAPEQUA, NY
NPI
1659703239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 009565-1)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
Mrs. KIM LOUISE ENOKSEN ccc-slp
103 EUCLID AVE
MASSAPEQUA, NY 11758-4510
Phone number: 516-799-5433
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Mailing Address
Mrs. KIM LOUISE ENOKSEN ccc-slp
103 EUCLID AVE
MASSAPEQUA, NY 11758-4510
Phone number: 516-799-5433
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