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1851077028
KAITLYN TAYLOR LICATA
RONKONKOMA, NY
NPI
1851077028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
KAITLYN TAYLOR LICATA
624 HAWKINS AVE
RONKONKOMA, NY 11779-2375
Phone number: 631-240-3579
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Mailing Address
KAITLYN TAYLOR LICATA
274 BERDIE AVE
HOLBROOK, NY 11741-3305
Phone number: 631-487-1914
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