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Individual
ELIZABETH MARIE VAN WINKLE
Active
Individual
ELIZABETH MARIE VAN WINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
002236
IA
235Z00000X
Speech-Language Pathologist
Primary
1582
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002236
IA LICENSE
IA
05
—
10026075400
—
NE
01
—
1582
NE LICENSE
NE
Enumeration date
08/29/2012
Last updated
12/13/2013
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