ALLISON MARY ICKSTADT

WANTAGH, NY
NPI1871102608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2020-07-28
Last Update Date2020-07-28
Business Address
ALLISON MARY ICKSTADT
1174 FORTUNE CT
WANTAGH, NY 11793-2759
Phone number: 516-221-1431
Mailing Address
ALLISON MARY ICKSTADT
1174 FORTUNE CT
WANTAGH, NY 11793-2759
Phone number: 516-221-1431
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