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Individual

LEKKIAH MAZYCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCD CCC-SLP

Contact information

Practice address
5104 SHAMROCKS DELIGHT DR, BOWIE, MD 20720-6363
(301) 237-1078
Mailing address
2000 DORNOCH WAY, UPPER MARLBORO, MD 20774-9026

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05297
MD
235Z00000X
Speech-Language Pathologist
2202005236
VA

Other

Enumeration date
04/09/2008
Last updated
09/02/2021
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