Individual
GISELE MARIE MORIN-CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11630 SCAGGSVILLE RD, FULTON, MD 20759-2208
(410) 888-8800
Mailing address
12113 BLUE PAPER TRL, COLUMBIA, MD 21044-2787
(410) 997-3652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01287
MD
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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