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>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1053540211

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1630 MAIN ST SUITE 110 CHESTER, MD 21619-2791 US
Tel: 410-604-2982  Fax: --

Contact information for business:
1502 QUEEN ANNE DR  CHESTER, MD 21619-2826 US
Tel: 410-643-4906  Fax: --

Registration Information:
NPI: 1053540211
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist

Legacy codes, insurance codes and state license numbers:



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