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Individual

SUSAN GANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
536 JEFFERSON ST, WINCHESTER, VA 22601-3209
(540) 662-3575
Mailing address
536 JEFFERSON ST, WINCHESTER, VA 22601-3209

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000343
VA

Other

Enumeration date
04/04/2018
Last updated
04/04/2018
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