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1063434116
SUSAN P ELLEBRACHT
CHESAPEAKE, VA
NPI
1063434116
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Former Name
SUSAN P ANTONIK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202001537)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN P ELLEBRACHT MA, CCC-SLP
4016 RAINTREE RD SUITE 240
CHESAPEAKE, VA 23321-3700
Phone number: 757-488-2864
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Mailing Address
Mrs. SUSAN P ELLEBRACHT MA, CCC-SLP
4016 RAINTREE RD SUITE 240
CHESAPEAKE, VA 23321-3700
Phone number: 757-488-2864
Copy
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