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Individual
MR. ROBERT ALLEN AXELROD
Active
Individual
MR. ROBERT ALLEN AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS/CCC/SP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002193-1
NY
Other
Enumeration date
01/26/2008
Last updated
01/26/2008
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