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1215050505
SUSAN MARY ANN ULTSCH
SAN RAFAEL, CA
NPI
1215050505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 6933)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Ms. SUSAN MARY ANN ULTSCH M.S.,CCC-SLP
30 N SAN PEDRO RD SUITE 265
SAN RAFAEL, CA 94903-4118
Phone number: 415-479-7880
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Mailing Address
Ms. SUSAN MARY ANN ULTSCH M.S.,CCC-SLP
403 SHORELINE HWY
MILL VALLEY, CA 94941-3762
Phone number: 415-383-0121
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