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Individual
MRS. KATRINA MACKENZIE MARTIN
Active
Individual
MRS. KATRINA MACKENZIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCL/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017450-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468KA
—
NY
Enumeration date
10/31/2008
Last updated
10/22/2013
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