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Individual

ALICIA M SESSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
Mailing address
1018 BEAVER CREEK DR, WEBSTER, NY 14580-9632
(585) 315-8944

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016206-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30-0213081
TAX ID
NY
Enumeration date
10/03/2006
Last updated
06/12/2015
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