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MRS. CAROLYN DESO MS CCC/SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1295973709

Individual Registrant:
MRS. CAROLYN  DESO MS CCC/SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2500 POND VW SUITE 102A CASTLETON, NY 12033-9750 US
Tel: 518-477-6072  Fax: 518-477-6074

Contact information for business:
3949 WESTERN TPKE  ALTAMONT, NY 12009-5622 US
Tel: 518-477-6072  Fax: 518-477-6074

Registration Information:
NPI: 1295973709
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
NY012827-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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