MRS. JAIME DETTLEFF, M.S. CCC SLP
Speech Language Pathology at Jomar Rd, Shoreham, NY

License number
New York 013287-1
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Address
Address
47 Jomar Rd, Shoreham, NY 11786
Phone
(631) 739-4781
National Provider ID: 1306988506
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JAIME DETTLEFF at bizstanding.com

JAIME DETTLEFF, M.S. CCC/SLP, PC

3 Driftwood Ct, Shoreham, NY 11786

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Jul 31, 2002
Inactive since:
Oct 27, 2010
State ID:
2795852
Business type:
Domestic Professional Corporation

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