Individual
SUZANNE WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 CRESCENT BLVD, BENNINGTON, VT 05201-2419
(518) 312-2708
Mailing address
306 CRESCENT BLVD, BENNINGTON, VT 05201-2419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
01/21/2014
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