Individual
MAKYIA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 RADIO STATION RD, LA PLATA, MD 20646-3337
(301) 934-7262
Mailing address
12806 DUNKIRK DR, UPPER MARLBORO, MD 20772-9320
(202) 480-5256
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
00179L
MD
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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