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Individual
MRS. LAURA A BIRTZ-SISSON
Active
Individual
MRS. LAURA A BIRTZ-SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T.S.H.H., M.S. ED.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1843288
NY
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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