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Individual
KATHERINE MOON
Active
Individual
KATHERINE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13503
SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD
CA
Enumeration date
07/01/2019
Last updated
07/01/2019
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