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1972224871
CASSANDRA WILSON
BAYPORT, NY
NPI
1972224871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 032204)
Enumeration Date
2022-09-08
Last Update Date
2022-09-08
Business Address
CASSANDRA WILSON
150 ACADEMY ST
BAYPORT, NY 11705-1708
Phone number: 631-472-7850
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Mailing Address
CASSANDRA WILSON
10 HEMLOCK RD
MOUNT SINAI, NY 11766-2727
Phone number: 631-766-6909
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