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Individual
MRS. LORI LYNN WILDT
Active
Individual
MRS. LORI LYNN WILDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006682-1
NY
Other
Enumeration date
02/28/2008
Last updated
10/01/2008
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