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Individual

DAWN BURNSIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
332 W 806 N, VALPARAISO, IN 46385-7973
(219) 764-4888
(219) 764-7676
Mailing address
PO BOX 2385, PORTAGE, IN 46368-5885
(219) 764-4888
(219) 764-7676

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002247A
IN

Other

Enumeration date
10/04/2011
Last updated
10/04/2011
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