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Individual

MRS. SUSAN RAE WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
3699 ALEXANDRIA PIKE, SUITE D, COLD SPRING, KY 41076-1789
(859) 572-0430
(859) 572-0163
Mailing address
3699 ALEXANDRIA PIKE, SUITE D, COLD SPRING, KY 41076-1789
(859) 572-0430
(859) 572-0163

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
136811
KY

Other

Enumeration date
04/06/2007
Last updated
06/30/2016
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