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Individual
KATHLEEN CREEL
Active
Individual
KATHLEEN CREEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06744
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235200000X
—
MD
Enumeration date
11/05/2018
Last updated
11/05/2018
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