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1821303454
JESSICA MARIE ANTIOCO
STATEN ISLAND, NY
NPI
1821303454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NY 019219-1)
Enumeration Date
2010-08-06
Last Update Date
2010-08-06
Business Address
MS. JESSICA MARIE ANTIOCO M.S., CCC-SLP
150 GRANITE AVE
STATEN ISLAND, NY 10303-2718
Phone number: 718-816-1422
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Mailing Address
MS. JESSICA MARIE ANTIOCO M.S., CCC-SLP
2015 SHORE PKWY APT 12J
BROOKLYN, NY 11214-6861
Phone number: 718-946-8826
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