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Individual
MADISYN WASCOM
Active
Individual
MADISYN WASCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L-SLP, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8882
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8882
LBESPA
—
Enumeration date
08/06/2021
Last updated
05/07/2024
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