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Individual
SUZANNE ELAINE LAURITSEN
Active
Individual
SUZANNE ELAINE LAURITSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2692
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12027458
ASHA
—
01
—
2692
OK BOARD OF EXAMINERS FOR SPEECH-LANGUAGE & AUDIOLOGY
OK
Enumeration date
06/05/2020
Last updated
06/05/2020
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