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Organization
PREMIUM COMMUNICATION SERVICES, INC.
Active
Organization
PREMIUM COMMUNICATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA GALLOWAY WYATT MS, CCC-SLP (PRESIDENT/CEO)
(240) 492-6111
Entity
Organization
Contact information
Practice address
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
(240) 492-6111
Mailing address
9823 SANDPIPER DR, UPPER MARLBORO, MD 20772-4762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03489
MD
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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