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Individual
MRS. TRISTA BAXTER KOGUT
Active
Individual
MRS. TRISTA BAXTER KOGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
017097
NY
235Z00000X
Speech-Language Pathologist
Primary
2202009350
VA
Other
Enumeration date
09/15/2011
Last updated
05/13/2022
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