TINA PERRE WILDE

BAYPORT, NY
NPI1700923711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  006180-1)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
Mrs. TINA PERRE WILDE CCC.SLP
404 1ST AVE
BAYPORT, NY 11705-1305
Phone number: 631-472-6679
Mailing Address
Mrs. TINA PERRE WILDE CCC.SLP
404 1ST AVE
BAYPORT, NY 11705-1305
Phone number: 631-472-6679
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