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Organization
RENEW SPEECH LANGUAGE PATHOLOGY
Active
Organization
RENEW SPEECH LANGUAGE PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORINDA MALCOLM (SPEECH LANGUAGE PATHOLOGIST)
(240) 472-8987
Entity
Organization
Contact information
Practice address
8644 WATER FALL DR, LAUREL, MD 20723-2033
(240) 472-8987
Mailing address
8644 WATER FALL DR, LAUREL, MD 20723-2033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03592
MD
Other
Enumeration date
06/12/2017
Last updated
06/15/2019
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