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Individual
SUSAN M STONE
Active
Individual
SUSAN M STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60349030
WI
235Z00000X
Speech-Language Pathologist
Primary
1717-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1717-154
STATE OF WISCONSIN LISCEN
WI
05
—
35031100
—
WI
05
—
42766400
—
WI
01
—
60349030
RN, STATE LICENSE
WI
Enumeration date
09/21/2007
Last updated
06/18/2009
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