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Individual
KRYSTEN MCGOUGH
Active
Individual
KRYSTEN MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A01821
MD
2355S0801X
Speech-Language Assistant
Primary
SLPA12918
AZ
235Z00000X
Speech-Language Pathologist
2025031413
MO
Other
Enumeration date
03/24/2011
Last updated
08/28/2026
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