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1609944628
SUSAN GANNON
WAYNE, MI
NPI
1609944628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: 01091560)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
Ms. SUSAN GANNON SLP
35425 W MICHIGAN AVE
WAYNE, MI 48184-1687
Phone number: 877-407-2500
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Mailing Address
Ms. SUSAN GANNON SLP
34607 BRISTOL ST
LIVONIA, MI 48154-2549
Phone number:
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