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Individual
REBECCA MUDD
Active
Individual
REBECCA MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146009372
IL
235Z00000X
Speech-Language Pathologist
Primary
242000494
IL
Other
Enumeration date
02/26/2008
Last updated
04/16/2010
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