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Individual

CRYSTAL ROWAN-CLAIRE UDEHN

Active
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Individual

CRYSTAL ROWAN-CLAIRE UDEHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13478
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0237659
STATE OF WASHINGTON DEPT. OF LABOR AND INDUSTRIES
WA
01
—
SP0134780
BLUE SHIELD
CA
Enumeration date
07/09/2008
Last updated
03/02/2015
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