CHARLES ROBERT VON STAEL GANSA

BROOKLYN, NY
NPI1710302658
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  023023)
Enumeration Date2014-03-01
Last Update Date2014-03-01
Business Address
Mr. CHARLES ROBERT VON STAEL GANSA MS CCC-SLP
448 CLINTON ST APT 3
BROOKLYN, NY 11231-3409
Phone number: 718-490-9205
Mailing Address
Mr. CHARLES ROBERT VON STAEL GANSA MS CCC-SLP
448 CLINTON ST APT 3
BROOKLYN, NY 11231-3409
Phone number: 718-490-9205
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