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Individual

ANNE W. JAUREGUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
39 WOOD LN, LOCUST VALLEY, NY 11560-1628
(516) 754-1090
Mailing address
39 WOOD LN, LOCUST VALLEY, NY 11560-1628
(516) 754-1090

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
09/10/2018
Last updated
09/10/2018
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