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Organization
NEWARK CENTRAL SCHOOL DISTRICT
Active
Organization
NEWARK CENTRAL SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN M. OBERDORF CCC-SLP, LIC. (SPEECH LANGUAGE PATHOLOGIST)
(315) 332-3342
Entity
Organization
Contact information
Practice address
1014 N MAIN ST, NEWARK, NY 14513-1032
(315) 332-3342
Mailing address
1014 N. MAIN ST., NEWARK, NY 14513
(315) 332-3342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007021
—
NY
Enumeration date
01/21/2011
Last updated
01/21/2011
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