Individual
GAMMON EDWARD GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
2300 SMALLWOOD DR W, WALDORF, MD 20603-4447
(301) 753-1769
Mailing address
1119 STATE ROUTE 3 N STE 201, GAMBRILLS, MD 21054-1788
(443) 808-1218
(443) 308-2111
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
00918A
MD
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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