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Individual

CHERYL ANN ROURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
53 GIBSON RD, GOSHEN, NY 10924-6709
(845) 291-0200
Mailing address
53 GIBSON RD, GOSHEN, NY 10924-6709

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013656
NY

Other

Enumeration date
12/07/2011
Last updated
12/08/2011
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