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1801190749
KIMBERLY ANN LYDTIN
FLUSHING, NY
NPI
1801190749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016434-1)
Enumeration Date
2011-01-07
Last Update Date
2011-01-07
Business Address
Ms. KIMBERLY ANN LYDTIN M.A., CCC-SLP, TSHH
14408 GRAVETT RD
FLUSHING, NY 11367-1339
Phone number: 347-307-4932
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Mailing Address
Ms. KIMBERLY ANN LYDTIN M.A., CCC-SLP, TSHH
14408 GRAVETT RD
FLUSHING, NY 11367-1339
Phone number: 347-307-4932
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