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Individual
MS. SHAYNA LATRICE FROST
Active
Individual
MS. SHAYNA LATRICE FROST
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
146010914
IL
235Z00000X
Speech-Language Pathologist
2273
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157410721
—
AR
01
—
5Y615
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/08/2007
Last updated
08/31/2012
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