Individual
MRS. CAREN DEBRA SANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/LSP
Contact information
Practice address
68 OPAL ST, HOLBROOK, NY 11741-4735
(631) 585-7920
Mailing address
68 OPAL ST, HOLBROOK, NY 11741-4735
(631) 585-7920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003660
NY
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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