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1104399203
SUSIE NAM
ENCINITAS, CA
NPI
1104399203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 27305)
Enumeration Date
2019-01-10
Last Update Date
2024-12-27
Business Address
SUSIE NAM MS, CCC-SLP
1092 N EL CAMINO REAL
ENCINITAS, CA 92024-1367
Phone number: 760-633-6507
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Mailing Address
SUSIE NAM MS, CCC-SLP
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 760-633-6507
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