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1497154355
ANDREA CAROL STATEN
OXFORD, MS
NPI
1497154355
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Former Name
ANDREA CAROL SUZYN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S2354)
Enumeration Date
2014-08-17
Last Update Date
2014-11-10
Business Address
Ms. ANDREA CAROL STATEN M.S. CCC-SLP
146 YOCONA RIDGE RD
OXFORD, MS 38655-6904
Phone number: 662-934-9885
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Mailing Address
Ms. ANDREA CAROL STATEN M.S. CCC-SLP
146 YOCONA RIDGE RD
OXFORD, MS 38655-6904
Phone number: 662-934-9885
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