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Organization
WHOLE CHILD SLP PC
Active
Organization
WHOLE CHILD SLP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILANITH REUVEN CCC-SLP (OWNER)
(917) 796-7865
Entity
Organization
Contact information
Practice address
1038 BAY 24TH ST, FAR ROCKAWAY, NY 11691-1802
(917) 796-7865
Mailing address
1038 BAY 24TH ST, FAR ROCKAWAY, NY 11691-1802
(917) 796-7865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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