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1922471689
ROBERTA S FAVANT
NEW YORK, NY
NPI
1922471689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 017035)
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
Ms. ROBERTA S FAVANT
680 W 204TH ST APT 6F
NEW YORK, NY 10034-3004
Phone number: 917-287-4446
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Mailing Address
Ms. ROBERTA S FAVANT
680 W 204TH ST APT 6F
NEW YORK, NY 10034-3004
Phone number: 917-287-4446
Copy
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