Individual
DIANNE LILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MASSACHUSETTS AVE, CUMBERLAND, MD 21502
(301) 777-5360
Mailing address
PO BOX 1406, FORT ASHBY, WV 26719-1406
(301) 707-9657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03727
MD
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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