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Individual
MRS. LAURIE I GUTTENBERG
Active
Individual
MRS. LAURIE I GUTTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,C.C.C.,L.S.P.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002740
NY
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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