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1023107406
SUSAN M SISK
LYNCHBURG, VA
NPI
1023107406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202002290)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- SUSAN M SISK
693 LEESVILLE RD
LYNCHBURG, VA 24502-2828
Phone number: 434-947-5700
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Mailing Address
-- SUSAN M SISK
PO BOX 2496
LYNCHBURG, VA 24505-2496
Phone number: 434-947-3777
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