MARY THERESE POLVINO

JAMESTOWN, NY
NPI1992463764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  032725)
Enumeration Date2021-11-29
Last Update Date2023-10-11
Business Address
MARY THERESE POLVINO
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-338-0668
Mailing Address
MARY THERESE POLVINO
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-338-0668
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