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Individual
KALIE IRWIN
Active
Individual
KALIE IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CF/SLP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA19430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA19430
FLORIDA STATE LICENSURE
FL
Enumeration date
10/17/2016
Last updated
03/19/2024
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