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Individual
MRS. REBECCA L SAS
Active
Individual
MRS. REBECCA L SAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103580
TX
235Z00000X
Speech-Language Pathologist
3041
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200028580A
—
OK
01
—
200028580B
DDSD
OK
Enumeration date
04/18/2006
Last updated
10/31/2011
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