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Individual
KRISTINE C MATTHIAS
Active
Individual
KRISTINE C MATTHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5349
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5349
ST LICENSE
TN
05
—
Q009051
—
TN
Enumeration date
10/24/2014
Last updated
04/20/2017
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