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Organization

MOMMAS LIGHT THERAPY CO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER MARY ANN ANDERSON M.S., CCC-SLP (CEO/OWNER)
(717) 433-3617
Entity
Organization

Contact information

Practice address
2425 SOLOMONS ISLAND RD, HUNTINGTOWN, MD 20639-8704
(410) 343-9366
Mailing address
3501 FORTUNA CT, HUNTINGTOWN, MD 20639-4202
(717) 433-3617

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
03/31/2026
Last updated
03/31/2026
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