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Individual
KAILEE S ANGLE
Active
Individual
KAILEE S ANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2355S0801X
MA
235Z00000X
Speech-Language Pathologist
Primary
108053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
477
COMM OF MA DIVISION OF PROFESSIONAL LICENSURE SL PATHOLOGIST ASSISTANT LICENSE
MA
Enumeration date
07/17/2009
Last updated
10/12/2022
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