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1770984007
MICHELLE FIREWORKER
VALLEY STREAM, NY
NPI
1770984007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NY 022340-1)
Enumeration Date
2014-09-05
Last Update Date
2014-09-05
Business Address
MICHELLE FIREWORKER SLP
923 CLIFFSIDE AVE
VALLEY STREAM, NY 11581-3049
Phone number: 516-633-3688
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Mailing Address
MICHELLE FIREWORKER SLP
923 CLIFFSIDE AVE
VALLEY STREAM, NY 11581-3049
Phone number: 516-633-3688
Copy
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