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Individual

ANGELA LAURA ENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6 OLD TOMAHAWK STREET, GRANITE SPRINGS, NY 10527
(914) 243-0501
Mailing address
7 WINTHROP DR, CORTLANDT MANOR, NY 10567-1416
(914) 552-9183

Taxonomy

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

Other

Enumeration date
05/14/2025
Last updated
05/14/2025
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