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Individual
SUSAN RAYNOCK
Active
Individual
SUSAN RAYNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
235Z00000X
Speech-Language Pathologist
Primary
032948
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
03/12/2025
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