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Individual
MRS. DONA DIANE KING
Active
Individual
MRS. DONA DIANE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
107336
TX
235Z00000X
Speech-Language Pathologist
Primary
146002991
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001532016
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/01/2006
Last updated
05/15/2013
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