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Individual

MISS STEPHANIE NICOLE YORK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC SLP

Contact information

Practice address
145 ROSEMARY ST STE K1, NEEDHAM HEIGHTS, MA 02494-3259
(781) 400-2482
(317) 815-3861
Mailing address
3993 DEMONT ROAD, SEAFORD, NY 11783
(516) 592-1611

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022131
NY

Other

Enumeration date
09/12/2012
Last updated
03/17/2018
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