Individual
MRS. TRACI JO DAGATA LOVEJOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
3033 SAINT LUKES LN, BALTIMORE, MD 21207-4475
(410) 887-1304
Mailing address
PO BOX 18246, HALETHORPE, MD 21227-0246
(727) 458-8944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10118
MD
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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