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Individual
KRISTIN COBB
Active
Individual
KRISTIN COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
024410
NY
235Z00000X
Speech-Language Pathologist
Primary
024410-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104248442
—
NY
Enumeration date
01/06/2014
Last updated
03/17/2020
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