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1902050172
RAE COSTA
VALLEY STREAM, NY
NPI
1902050172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2008-11-13
Last Update Date
2010-11-08
Business Address
Mrs. RAE COSTA CCC-SLP
16 FOREST RD
VALLEY STREAM, NY 11581-2411
Phone number: 516-791-6134
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Mailing Address
Mrs. RAE COSTA CCC-SLP
16 FOREST RD
VALLEY STREAM, NY 11581-2411
Phone number: 516-791-6134
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