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Individual
MRS. LATIA Y PACELY
Active
Individual
MRS. LATIA Y PACELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3128258-01
—
TX
05
—
3128258-02
—
TX
Enumeration date
07/10/2007
Last updated
08/14/2013
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