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Individual
ROSELLEN SHEETZ
Active
Individual
ROSELLEN SHEETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048692
BLUE LINK #
TX
01
—
10690
HUMANA ID #
TX
01
—
81994T
BCBS PROVIDER #
TX
Enumeration date
12/29/2005
Last updated
05/04/2009
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