Individual
MRS. KATHLEEN WYVILL EDELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7100 CROOM STATION RD, UPPER MARLBORO, MD 20772-9657
(301) 952-0615
Mailing address
7100 CROOM STATION RD, UPPER MARLBORO, MD 20772-9657
(301) 952-0615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02140
MD
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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