SUSAN TRACY LAINE

MIDLOTHIAN, VA
NPI1306109715
Former NameSUSAN TRACY BEDWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: VA  2202004156)
Enumeration Date2012-06-20
Last Update Date2026-01-20
Business Address
SUSAN TRACY LAINE MS
1708 OTTERDALE RD
MIDLOTHIAN, VA 23114-6914
Phone number: 804-402-4254
Mailing Address
SUSAN TRACY LAINE MS
1708 OTTERDALE RD
MIDLOTHIAN, VA 23114-6914
Phone number: 804-402-4254
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