SUSAN ROACH

STARKE, FL
NPI1538102421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA5463)
Enumeration Date2006-06-14
Last Update Date2007-07-08
Business Address
-- SUSAN ROACH
417 W CALL ST
STARKE, FL 32091-3115
Phone number: 904-964-4464
Mailing Address
-- SUSAN ROACH
2162 NE 154TH ST
STARKE, FL 32091-6418
Phone number: 904-964-4464
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