Individual
SUSAN LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 SQUIRE CIR, CLEMSON, SC 29631-2138
(864) 653-3718
Mailing address
509 SQUIRE CIR, CLEMSON, SC 29631-2138
(864) 653-3718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
501
SC
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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