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Individual
NIQUETTE DESTIN
Active
Individual
NIQUETTE DESTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
235Z00000X
Speech-Language Pathologist
Primary
016079-1
NY
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/15/2009
Last updated
10/05/2018
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