JACQULYNN MIDEN

HOWARD BEACH, NY
NPI1902370612
Former NameJACQULYNN LUCIANO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  0283141)
Enumeration Date2019-01-15
Last Update Date2022-09-21
Business Address
Mrs. JACQULYNN MIDEN M.S. CCC,SLP- TSSLD
10104 158TH AVE
HOWARD BEACH, NY 11414-3212
Phone number: 917-991-0287
Mailing Address
Mrs. JACQULYNN MIDEN M.S. CCC,SLP- TSSLD
10104 158TH AVE
HOWARD BEACH, NY 11414-3212
Phone number: 917-991-0287
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