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Individual

MS. SUSAN MARIE SORG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
681H BATTLEFIELD BLVD N # 138, CHESAPEAKE, VA 23320-4900
(757) 773-7140
Mailing address
681H BATTLEFIELD BLVD N # 138, CHESAPEAKE, VA 23320-4900
(757) 773-7140

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9452
FL

Other

Enumeration date
06/03/2008
Last updated
06/03/2008
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