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Individual
MRS. KRISTEN MOORE FORGUE
Active
Individual
MRS. KRISTEN MOORE FORGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6273
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114969
AMERIGROUP
FL
01
—
11982301
CITRUS HEALTHCARE
FL
01
—
244
ATA
FL
01
—
S2868
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/10/2006
Last updated
07/08/2007
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