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Individual
KATHRYN M VASSAR
Active
Individual
KATHRYN M VASSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011107-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011107-1
NEW YORK STATE LICENSE NUMBER
NY
Enumeration date
11/20/2008
Last updated
04/01/2019
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