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1669564282
SUSANNAH C DOHERTY
JACKSONVILLE, FL
NPI
1669564282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL Sa3951)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Mrs. SUSANNAH C DOHERTY SLP
12276 SAN JOSE BLVD. SUITE 508
JACKSONVILLE, FL 32223-8628
Phone number: 904-886-3228
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Mailing Address
Mrs. SUSANNAH C DOHERTY SLP
1538 CHARON RD
JACKSONVILLE, FL 32205-9202
Phone number: 904-387-0986
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