Individual
LAURIE OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3421 MARTHA BUSH DR, ELLICOTT CITY, MD 21043-4426
(410) 465-1352
Mailing address
3421 MARTHA BUSH DR, ELLICOTT CITY, MD 21043-4426
(410) 465-1352
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04291
MD
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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