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Organization
SMALL WONDERS S.L.P,, P.C.
Active
Organization
SMALL WONDERS S.L.P,, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTINE LABUSH M.S. CCC-SLP (PRESIDENT/SLP)
(347) 386-4961
Entity
Organization
Contact information
Practice address
18 VICTORIA TER, GOSHEN, NY 10924-2206
(347) 389-4961
Mailing address
18 VICTORIA TER, GOSHEN, NY 10924-2206
(347) 389-4961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015159-1
NY
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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