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1922575521
REBECCA N CLARK
BAY SHORE, NY
NPI
1922575521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 028276-1)
Enumeration Date
2018-11-01
Last Update Date
2018-11-01
Business Address
REBECCA N CLARK
795 WISCONSIN AVE
BAY SHORE, NY 11706-2336
Phone number: 631-434-2215
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Mailing Address
REBECCA N CLARK
795 WISCONSIN AVE
BAY SHORE, NY 11706-2336
Phone number:
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