Individual
DENISE MOORE REVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7909 BELLE POINT DR, GREENBELT, MD 20770-3329
(866) 570-0442
Mailing address
14625 BALTIMORE AVE, SUITE 864, LAUREL, MD 20707-4902
(866) 570-0442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03882
MD
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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