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Organization
CARE SPEECH LANGUAGE PATHOLOGY SERVICE, LLC
Active
Organization
CARE SPEECH LANGUAGE PATHOLOGY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE DIANE COOPER PHD (SPEECH AND LANGUAGE PATHOLOGIST)
(202) 386-8745
Entity
Organization
Contact information
Practice address
9308 MIDLAND TURN, UPPER MARLBORO, MD 20772-5367
(202) 386-8745
(301) 423-5010
Mailing address
9308 MIDLAND TURN, UPPER MARLBORO, MD 20772-5367
(202) 386-8745
(301) 423-5010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000531
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP000531
DISTRICT OF COLUMBIA MEDICARE
DC
Enumeration date
11/09/2015
Last updated
11/09/2015
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