Individual
BETTY MAURICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1339 HOE AVE, BRONX, NY 10459-1679
(347) 459-5272
Mailing address
PO BOX 1234, BRONX, NY 10459-1164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0151471
NY
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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