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Individual

KRISTEN ASHLEY STAATS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
5215 W CEDAR LN, BETHESDA, MD 20814-1548
(301) 897-5500
Mailing address
10300 STRATHMORE HALL ST, APT 314, NORTH BETHESDA, MD 20852-3399
(412) 715-1350

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06797
MD

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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