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1831672807
GRACE MARGUERITE SOUTHWORTH
NEW YORK, NY
NPI
1831672807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 027992-1)
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
GRACE MARGUERITE SOUTHWORTH SLP
260 PLEASANT AVE
NEW YORK, NY 10029-1798
Phone number: 212-876-4639
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Mailing Address
GRACE MARGUERITE SOUTHWORTH SLP
14 LOWELL DR
FARMINGDALE, NY 11735-3107
Phone number: 516-395-6168
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