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Organization
KIDS' VILLAGE THERAPY, LLC
Active
Organization
KIDS' VILLAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA CHERYL MASON M.A., SLP (SPEECH LANGUAGE PATHOLOGIST)
(443) 283-0618
Entity
Organization
Contact information
Practice address
5060 DORSEY HALL DR, SUITE 204, ELLICOTT CITY, MD 21042-7884
(443) 283-0618
(443) 283-0347
Mailing address
5060 DORSEY HALL DR, SUITE 204, ELLICOTT CITY, MD 21042-7884
(443) 283-0618
(443) 283-0347
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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