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1669605218
LORI NICOLE NIDDAM
BOCA RATON, FL
NPI
1669605218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA9810)
Enumeration Date
2009-08-31
Last Update Date
2009-08-31
Business Address
-- LORI NICOLE NIDDAM M.S. CCC-SLP
160 NW 4TH ST
BOCA RATON, FL 33432-3826
Phone number: 561-391-8444
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Mailing Address
-- LORI NICOLE NIDDAM M.S. CCC-SLP
12387 CLEARFALLS DR
BOCA RATON, FL 33428-4846
Phone number: 561-852-7830
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