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Individual
MARY KATHERINE KEANE
Active
Individual
MARY KATHERINE KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP, TSSLD
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1516936211
TEACHER OF SPEECH AND LANGUAGE DIFFICULTIES, INITIAL CERTIFICATE
NY
Enumeration date
11/17/2021
Last updated
11/17/2021
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