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Individual
VIENNA KO
Active
Individual
VIENNA KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
032943
NY
235Z00000X
Speech-Language Pathologist
41YS01167700
NJ
235Z00000X
Speech-Language Pathologist
SP-78603-SP-SL
MA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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