Individual
JEANNETTE SLESICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1416 BANAVIE TER E, BEL AIR, MD 21015-5778
(410) 652-5357
Mailing address
1416 BANAVIE TER E, BEL AIR, MD 21015-5778
(410) 652-5357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04812
MD
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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