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Individual
SUSAN CULLEN
Active
Individual
SUSAN CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
110823
TX
235Z00000X
Speech-Language Pathologist
Primary
9746
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110823
LICENSE NUMBER
TX
01
—
9746
LICENSE NUMBER
OH
Enumeration date
11/25/2014
Last updated
11/25/2014
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