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1619129160
SUSAN ELIZABETH MOAK
JACKSON, MS
NPI
1619129160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S2916)
Enumeration Date
2008-10-15
Last Update Date
2008-10-15
Business Address
Mrs. SUSAN ELIZABETH MOAK M.S., CCC-SLP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-2937
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Mailing Address
Mrs. SUSAN ELIZABETH MOAK M.S., CCC-SLP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-2937
Copy
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