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1609064955
SUSAN D ROOT
CHAMPAIGN, IL
NPI
1609064955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146004209)
Enumeration Date
2007-10-11
Last Update Date
2007-10-11
Business Address
Ms. SUSAN D ROOT M.A.
2001 S OAK ST SUITE B
CHAMPAIGN, IL 61820-0906
Phone number: 217-333-2205
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Mailing Address
Ms. SUSAN D ROOT M.A.
2001 S OAK ST SUITE B
CHAMPAIGN, IL 61820-0906
Phone number: 217-333-2205
Copy
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