Individual
JENELLE GUCWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(018) 622-5053
(301) 862-2548
Mailing address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(018) 622-5053
(301) 862-2548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09344
MD
235Z00000X
Speech-Language Pathologist
110900
TX
Other
Enumeration date
03/08/2016
Last updated
08/05/2020
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