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Organization
ROOTS AND WINGS SPEECH PC
Active
Organization
ROOTS AND WINGS SPEECH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN LOPEZ MS (SPEECH PATHOLOGIST)
(914) 575-7524
Entity
Organization
Contact information
Practice address
648 WOOD ST, MAMARONECK, NY 10543-1732
(914) 575-7524
Mailing address
648 WOOD ST, MAMARONECK, NY 10543-1732
(914) 575-7524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0218031
NY
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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