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Individual
MARTHA J FAREWELL
Active
Individual
MARTHA J FAREWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7047-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025214901
UNIVERA
NY
01
—
9390329
INDEPENDENT HEALTH
NY
Enumeration date
07/24/2006
Last updated
07/09/2007
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