Individual
SHAVON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1400 NALLEY TER, LANDOVER, MD 20785-4434
(301) 618-8300
Mailing address
1400 NALLEY TER, LANDOVER, MD 20785-4434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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