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1740645449
LEIBA WYDRA
LAKEWOOD, NJ
NPI
1740645449
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Professional Name
LEIBA HIRTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41ys00828500)
Enumeration Date
2015-12-22
Last Update Date
2015-12-22
Business Address
-- LEIBA WYDRA
28 ROOSEVELT AVE
LAKEWOOD, NJ 08701-5654
Phone number: 732-364-4993
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Mailing Address
-- LEIBA WYDRA
28 ROOSEVELT AVE
LAKEWOOD, NJ 08701-5654
Phone number: 732-364-4993
Copy
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