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Individual
MISS KRISTEN PARKS
Active
Individual
MISS KRISTEN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113685
TEXAS LICENSE FOR SPEECH-LANGUAGE PATHOLOGISTS
TX
01
—
14072175
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION CERTIFICATION
TX
Enumeration date
11/11/2020
Last updated
09/26/2021
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