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Individual
MISS ANGELA JEAN KENNEDY
Active
Individual
MISS ANGELA JEAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103363
STATE LICENSE NUMBER
TX
Enumeration date
02/12/2009
Last updated
02/12/2009
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