Individual
MS. ANGELICA GRACE LABRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3948 RALPH ST S, SEAFORD, NY 11783-1745
(516) 554-6589
Mailing address
3948 RALPH ST S, SEAFORD, NY 11783-1745
(516) 554-6589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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