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Individual

SUSAN KEMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9846 STATE HYWY 31E, TYLER, TX 75705
(903) 592-8001
(903) 525-3952
Mailing address
22770 COFFEE LNDG, COFFEE CITY, TX 75763-4008
(903) 539-2267

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
104197
TX

Other

Enumeration date
07/25/2017
Last updated
07/25/2017
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