Individual
ALICIA LORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
16 SMITH CT, HYDE PARK, NY 12538-2409
(845) 229-4060
Mailing address
61 SLEIGHT PLASS RD, POUGHKEEPSIE, NY 12603-6108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024434
NY
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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