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Individual
KATELYN ANN WILLIAMS
Active
Individual
KATELYN ANN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76374
MA SPEECH LANGUAGE PATHOLOGY
MA
Enumeration date
08/19/2016
Last updated
03/17/2018
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