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1730379801
KATHRYN SUSAN VANSICKLE
MISHAWAKA, IN
NPI
1730379801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22002407A)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
Mrs. KATHRYN SUSAN VANSICKLE M.S.CCC-SLP
59888 PINE CREST DR
MISHAWAKA, IN 46544-9471
Phone number: 574-850-4445
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Mailing Address
Mrs. KATHRYN SUSAN VANSICKLE M.S.CCC-SLP
59888 PINE CREST DR
MISHAWAKA, IN 46544-9471
Phone number: 574-850-4445
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