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Individual

ANNE VACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
321 WOODMERE BLVD, WOODMERE, NY 11598-2035
(516) 295-1340
Mailing address
940 JEROME ST, BALDWIN, NY 11510-5017
(516) 532-4096

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014133-1
NY

Other

Enumeration date
10/29/2008
Last updated
10/29/2008
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