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1720700305
JULIA M STACK
MOHEGAN LAKE, NY
NPI
1720700305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
Ms. JULIA M STACK M.S.,CF-SLP
3151 STONY ST
MOHEGAN LAKE, NY 10547-1913
Phone number: 914-885-1995
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Mailing Address
Ms. JULIA M STACK M.S.,CF-SLP
63 ALBION OVAL
MAHOPAC, NY 10541-3601
Phone number: 845-531-1140
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