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Individual

AMANDA LAUREN STOLCZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4223 FRANCIS LEWIS BLVD, LL107, BAYSIDE, NY 11361-2575
(718) 767-4191
Mailing address
8629 155TH AVE, APT. 5K, HOWARD BEACH, NY 11414-2109
(917) 846-2428

Taxonomy

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

Other

Enumeration date
05/07/2013
Last updated
05/14/2013
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