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Individual
KRISTIN LEE LOUGEE
Active
Individual
KRISTIN LEE LOUGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
224Z00000X
Occupational Therapy Assistant
1001369
OR
Other
Enumeration date
09/11/2006
Last updated
11/05/2015
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