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Individual
LISA BARKSDALE
Active
Individual
LISA BARKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5664
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1528
—
SC
Enumeration date
02/02/2015
Last updated
05/10/2021
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