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Individual
MRS. SUSAN ERDIGE HOLZ
Active
Individual
MRS. SUSAN ERDIGE HOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
020358-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00729673
ASHA
NY
01
—
020358-1
NYSTATE LICENSURE
NY
Enumeration date
10/25/2011
Last updated
10/25/2011
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