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1790165983
STACEY LONGINO
DEERFIELD BEACH, FL
NPI
1790165983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2015-06-03
Last Update Date
2015-06-03
Business Address
Mrs. STACEY LONGINO
500 FAIRWAY DR STE 102
DEERFIELD BEACH, FL 33441-1817
Phone number: 888-880-9270
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Mailing Address
Mrs. STACEY LONGINO
500 FAIRWAY DR STE 102
DEERFIELD BEACH, FL 33441-1817
Phone number: 888-880-9270
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