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Individual
MORGAN ROES WIDRICK
Active
Individual
MORGAN ROES WIDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497967509
—
NY
Enumeration date
05/21/2018
Last updated
05/21/2018
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