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Individual
MICHAEL MCLEOD
Active
Individual
MICHAEL MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
14092792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427597970
GROWNOW THERAPY SERVICES, LLC
PA
Enumeration date
08/19/2015
Last updated
03/17/2018
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