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Individual
JACQUELINE PRADO
Active
Individual
JACQUELINE PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
120659
TX
235Z00000X
Speech-Language Pathologist
Primary
2202008125
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2016
Last updated
03/24/2023
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