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Individual
KATIE CARLEEN SAMUELSON
Active
Individual
KATIE CARLEEN SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC- SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023438-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355344
—
NY
Enumeration date
09/04/2014
Last updated
05/04/2022
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