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1962010918
LISAMARIE BREA
RIDGEWOOD, NY
NPI
1962010918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 14334960)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
LISAMARIE BREA
1715 WEIRFIELD ST
RIDGEWOOD, NY 11385-5351
Phone number: 718-417-2840
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Mailing Address
LISAMARIE BREA
244 FIELDSTON TER APT 5G
BRONX, NY 10471-3034
Phone number: 516-320-0234
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