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Individual
MIRANDA MAE RIDDLE
Active
Individual
MIRANDA MAE RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
114598
TX
235Z00000X
Speech-Language Pathologist
Primary
146.016080
IL
235Z00000X
Speech-Language Pathologist
146016080
IL
Other
Enumeration date
08/30/2021
Last updated
01/12/2023
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