# MRS. SUSAN B. JETER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760677074
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235500000X | Speech/Language/Hearing Specialist/Technologist | 97-05E | AR | Yes |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 09/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 97-05E | STATE OF ARKANSAS | AR |