Individual
JENNA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042
(410) 313-6600
Mailing address
2001 ODEN DR, ELDERSBURG, MD 21784-7159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
06/27/2018
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