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1710532999
SUSAN FUQUA FENWICK
PHILPOT, KY
NPI
1710532999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
SUSAN FUQUA FENWICK
3473 LONDON PIKE
PHILPOT, KY 42366-9344
Phone number: 270-302-1485
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Mailing Address
SUSAN FUQUA FENWICK
3473 LONDON PIKE
PHILPOT, KY 42366-9344
Phone number: 270-302-1485
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