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Individual

SUSAN R PIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
402 MINERAL POINT CT, JANESVILLE, WI 53548-3242
(608) 436-3013
Mailing address
402 MINERAL POINT CT, JANESVILLE, WI 53548-3242
(608) 436-3013

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15458
OR
235Z00000X
Speech-Language Pathologist
Primary
794-154
WI

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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