JACLYN LEGACY

NEW YORK, NY
NPI1962945402
Former NameJACLYN GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  015054-1)
Enumeration Date2016-12-01
Last Update Date2016-12-01
Business Address
-- JACLYN LEGACY
1615 MADISON AVE
NEW YORK, NY 10029-3513
Phone number: 212-860-5803
Mailing Address
-- JACLYN LEGACY
1615 MADISON AVE
NEW YORK, NY 10029-3513
Phone number: 212-860-5803
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