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Individual
GENNA MICHELE RICOTTA
Active
Individual
GENNA MICHELE RICOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016418-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016418-1
SLP LICENSE
NY
Enumeration date
02/12/2007
Last updated
09/25/2010
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