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Individual

AISHA KAMILAH O'GILVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
230 STEUBEN ST, MONTOUR FALLS, NY 14865-9648
(607) 210-7350
Mailing address
3 DONNA DR, POUGHKEEPSIE, NY 12603-5611

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022293-1
NY

Other

Enumeration date
01/04/2016
Last updated
01/04/2016
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