Individual
REGINA EVIE OKOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
10714 BALTIMORE AVENUE, BELTSVILLE, MD 20705-2112
(301) 802-6059
Mailing address
4105 BRIGGS CHANEY RD, BELTSVILLE, MD 20705-1040
(301) 802-6059
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
00095L
MD
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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