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Individual

ASHLEY MATURO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
55 HILLSIDE RD, POUGHQUAG, NY 12570
(845) 416-1451
Mailing address
55 HILLSIDE RD, POUGHQUAG, NY 12570-5004

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025453
NY

Other

Enumeration date
07/19/2017
Last updated
07/19/2017
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