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1841651510
ELLEN LUTZ
RIVERHEAD, NY
NPI
1841651510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 009991-1)
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
-- ELLEN LUTZ
355 TUTHILLS LANE
RIVERHEAD, NY 11901-2245
Phone number: 631-722-3298
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Mailing Address
-- ELLEN LUTZ
PO BOX 2245
AQUEBOGUE, NY 11931-2245
Phone number: 631-722-3298
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