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Individual

CHRISTINE MARIE QUERMBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC/L-SLP TSSLD

Contact information

Practice address
697 RIDGE RD, LACKAWANNA, NY 14218-1500
(716) 822-4781
(716) 825-5765
Mailing address
697 RIDGE RD, LACKAWANNA, NY 14218-1500
(716) 822-4781
(716) 825-5765

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
020946
NY

Other

Enumeration date
04/29/2011
Last updated
04/29/2011
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