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Individual

MS. SUZANNE MARIE KUBANCIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.CCC-A

Contact information

Practice address
109 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-7713
(740) 695-1058
(740) 695-0889
Mailing address
205 SPRING PARK AVE, SAINT CLAIRSVILLE, OH 43950-8538
(304) 695-1058
(740) 695-0889

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A01028
OH
231H00000X
Audiologist
A0120
WV
231H00000X
Audiologist
AT005978
PA
231H00000X
Audiologist

Other

Enumeration date
04/05/2013
Last updated
10/14/2020
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