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1669081188
LISA FAYE IVY
BRONX, NY
NPI
1669081188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
LISA FAYE IVY
1560 MAYFLOWER AVE
BRONX, NY 10461-5400
Phone number: 718-948-1990
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Mailing Address
LISA FAYE IVY
63 WALL ST APT 518
NEW YORK, NY 10005-3025
Phone number: 281-782-9411
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