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Individual
MRS. MAXINE LORRAINE REYNOLDS
Active
Individual
MRS. MAXINE LORRAINE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, EDM CCC SP/A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
893-1
NY
235Z00000X
Speech-Language Pathologist
Primary
4279
NY
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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