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1063056968
SUSANNA ELEANOR WOOTEN
CHARLOTTE, NC
NPI
1063056968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 13223)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
SUSANNA ELEANOR WOOTEN msp-ccc,slp
16147 LANCASTER HWY STE 130
CHARLOTTE, NC 28277-2051
Phone number: 704-307-9541
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Mailing Address
SUSANNA ELEANOR WOOTEN msp-ccc,slp
16147 LANCASTER HWY STE 130
CHARLOTTE, NC 28277-2051
Phone number: 704-307-9541
Copy
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