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Individual
MRS. ROBERTA MILLROD LEONARD
Active
Individual
MRS. ROBERTA MILLROD LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC/LSP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001966
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001966
LICENSE SPEECH PATHOLOGY
NY
Enumeration date
09/28/2010
Last updated
09/28/2010
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