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Individual
KRISTIN GRAVES
Active
Individual
KRISTIN GRAVES
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
Primary
13902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13902
CA SPEECH LANGUAGE PATHOLOGY LICENCE
CA
Enumeration date
11/20/2018
Last updated
11/20/2018
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