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1902365810
ANASTASIA IVANOVA
BROOKLYN, NY
NPI
1902365810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 028568)
Enumeration Date
2019-03-19
Last Update Date
2019-03-19
Business Address
ANASTASIA IVANOVA M.S. CCC-SLP, TSSLD
3368 SHORE PKWY APT B4
BROOKLYN, NY 11235-2713
Phone number: 646-410-6879
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Mailing Address
ANASTASIA IVANOVA M.S. CCC-SLP, TSSLD
3368 SHORE PKWY APT B4
BROOKLYN, NY 11235-2713
Phone number: 646-410-6879
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