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Individual
SUSAN LORAINE
Active
Individual
SUSAN LORAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2264
KS
235Z00000X
Speech-Language Pathologist
Primary
O1-0001229
DE
235Z00000X
Speech-Language Pathologist
SA10760
FL
235Z00000X
Speech-Language Pathologist
SL010662
PA
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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