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Individual
KATELYN L EVANS
Active
Individual
KATELYN L EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10884
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275193
—
OH
01
—
14229187
CAQH
OH
Enumeration date
03/15/2018
Last updated
11/07/2019
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