Individual
MRS. MA CONCEPCION SEGISMUNDO LAURENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4300 WICOMICO AVE, BELTSVILLE, MD 20705-2673
(301) 572-0630
Mailing address
149 MYRTLE AVE, SEVERN, MD 21144-3349
(202) 290-7440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08838
MD
Other
Enumeration date
11/12/2018
Last updated
08/23/2022
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