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Individual
PATRICK KNISLEY
Active
Individual
PATRICK KNISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942530407
MULTI-SPECIALTY GROUP
—
Enumeration date
09/20/2018
Last updated
09/20/2018
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