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Individual
NATALIE C. KASSULKE
Active
Individual
NATALIE C. KASSULKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
025430-1
NY
235Z00000X
Speech-Language Pathologist
LL60078936
WA
235Z00000X
Speech-Language Pathologist
Primary
SLP007756
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003119372A
—
GA
05
—
7018518
—
WA
Enumeration date
04/13/2009
Last updated
02/15/2016
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